从二维到多维:一个机制模型来支持故意的CPD开发,协调和评估
Grahanya Sachidanandan1, Abhimanyu Sud
1Ms. Sachidanandan: Medical Student, Temerty Faculty of Medicine, University of Toronto. Dr. Sud: Research Chair, Primary Care & Population Health Systems, Humber River Hospital, and Assistant Professor, Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto.
The Journal of continuing education in the health professions
|October 2, 2023
概括
持续专业发展 (CPD) 的有效性各不相同. 一个新的模型确定了五种机制:动机,专业知识,信心,自我效能和社区,以指导基于理论的CPD程序开发和评估,以获得更好的健康结果.
科学领域:
- 健康 专业 教育 卫生 专业 教育
- 干预科学 干预科学
- 项目评估 项目评估
背景情况:
- 持续专业发展 (CPD) 对卫生专业人员行为和患者结果的影响不一致.
- 当前的CPD方法往往专注于结果,而不了解潜在的机制.
- 为了有效的CPD,需要转向基于理论和基于结果的策略.
研究的目的:
- 开发和完善一个驱动CPD计划成果的机制模型.
- 澄清CPD干预措施及其影响之间的因果关系.
- 支持过渡到更深思熟虑和更有效的CPD设计和评估.
主要方法:
- 用一种现实的合成方法来识别和测试机制.
- 来自阿片类药物agonist治疗cpd计划的机制与对止痛药处方和息护理计划的系统审查进行了改进.
- 在可持续的医疗保健和疼痛管理计划中的实际应用进一步验证了该模型.
主要成果:
- 开发了一个包含五个关键机制的最终模型:动机转型,专家影响,信心发展,自我效能促进和实践社区扩张.
- 分析强调了CPD的异质性,复杂性和上下文依赖性.
- 九十份报告和75个项目为该模型提供了信息,并提供了进一步的实际应用.
结论:
- 采用基于结果和基于理论的方法可以提高CPD的规划,评估和协作.
- 该模型阐明了将CPD与其他干预科学集成的机会.
- 该资源帮助从业者,研究人员和决策者提高CPD的有效性.
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