在持续的专业发展中重新思考背景:从识别障碍到理解社会动态
1Dr. Wong: Associate Professor, Department of Medicine, University of Toronto, Toronto, Ontario, Canada. Dr. Kitto: Professor, Department of Innovation in Medical Education, University of Ottawa, Ottawa, Ontario, Canada.
The Journal of continuing education in the health professions
|December 6, 2023
概括
持续专业发展 (CPD) 需要理解超越简单障碍的背景. 整合后现代主义理论为社会结构如何影响医疗保健实践和教育有效性提供了细微的观点.
科学领域:
- 医学教育 医学教育
- 健康 职业 教育 教育 专业
- 卫生中的社会科学.
背景情况:
- 持续专业发展 (CPD) 的有效性取决于理解上下文因素.
- 当前的框架往往过于简化了上下文,变成了障碍列表,忽视了复杂的相互作用.
- 需要更深入的理论方法来捕捉医疗干预中的背景细微差别.
研究的目的:
- 建议在CPD干预设计中重新概念化上下文.
- 将后现代主义理论与现有的框架方法整合起来.
- 增强对环境如何影响CPD有效性的理解.
主要方法:
- 在糖尿病护理方面采用了福卡尔德式的话语分析.
- 该分析考察了影响临床实践的社会,历史和政治条件.
- 这种方法旨在揭示临床医生的经验如何塑造行为改变的可能性.
主要成果:
- 持续教育通常被视为知识翻译工具,假设医生实施指南.
- 医生可能会采取与遵守指导方针相冲突的角色,从而造成紧张.
- 这表明,感知到的良好护理可能并不总是与严格的指导方针实施一致.
结论:
- 将框架方法与后现代主义理论结合起来,可以丰富CPD中的上下文理解.
- 考虑意识形态,意义和社会结构提供了更强大的实践观点.
- 这种重新概念化可以阐明在临床环境中塑造教育有效性的动态相互作用.
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