基于证据的医疗领导力发展:系统审查
Oscar Lyons1, Robynne George2, Joao R Galante3,4
1Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK oscar.lyons@nds.ox.ac.uk.
BMJ leader
|October 18, 2023
概括
有效的医疗领导力发展计划利用内部或混合教师,项目工作和指导来实现组织成果. 教育方法比具体的内容更为关键,以获得成功.
科学领域:
- 医疗保健管理的管理
- 医学教育研究 医学教育研究
- 组织心理学 组织心理学
背景情况:
- 卫生系统大量投资于领导力发展,以提高质量和患者安全.
- 有能力的医疗领导对于医疗保健系统的表现至关重要.
- 需要对有效领导力发展计划因素的实证证据.
研究的目的:
- 系统地审查与临床和组织结果相关的医疗领导力发展计划中的因素的经验证据.
- 确定预测成功结果的程序特征.
- 为优化领导力发展干预提供基于证据的建议.
主要方法:
- 系统审查使用Ovid MEDLINE和手动搜索的117项研究.
- 使用医学教育研究研究质量指标 (MERSQI) 和乔安娜·布里格斯研究所 (JBI) 批判性评估工具进行质量评估.
- 合成结果的元聚合方法.
主要成果:
- 28项研究符合更高的可靠性标准;中位数MERSQI得分为8.5/18,中位数JBI得分为3/10.
- 有内部或混合教师的课程更有可能报告组织结果 (p=0.049).
- 项目工作和指导与组织结果的可能性增加有关;内容领域并不重要.
结论:
- 领导力发展计划应整合内部/混合教师,项目工作和指导,以实现组织的影响.
- 在实现组织成果方面,教育方法比课程内容更有影响力.
- 改进评估设计对于理解计划因素和结果之间的可靠关联至关重要.
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