在数字"实践社区"中进行知识转移的专业间讨论,以管理肺结核病:混合方法研究研究
Varinn Avi Sood1, Heidi Rishel Brakey2, Orrin Myers2
1Central New Mexico Community College, La Cueva High School, Albuquerque, NM, United States.
JMIR formative research
|March 13, 2025
概括
矿工健康ECHO有效地转移了对肺结核病护理的知识,提高了参与者的技能. 不同的群体参与的方式不同,共同的主持人-参与者身份促进了较安静的群体的参与.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
- 数字健康干预措施 数字健康干预措施
背景情况:
- 肺结核病患病率的增加,特别是在美国的煤矿工人中,需要专门的多学科护理.
- 专家短缺凸显了需要创新的知识转移解决方案.
- 矿工健康ECHO (社区健康成果的扩展) 是一个数字实践社区,旨在为跨专业的知识共享.
研究的目的:
- 检查矿工健康ECHO计划中与专业间讨论相关的特征.
- 确定在这个数字实践社区中加强知识转移的策略.
主要方法:
- 采用了混合方法,探索性的顺序设计.
- 14个月的ECHO会议 (2018年7月至2019年9月) 被视频录制,转录并分析参与者的发言.
- 定量分析检查了影响积极参与的因素,包括参与者群体,经验,主持人与参与者的一致性和视频使用,使用通用估计方程.
主要成果:
- 临床医疗服务提供者是最有声音的参与者群体,而福利顾问是最没有声音的参与者群体,在各组发言率上存在显著差异 (P=.003).
- 演讲者和参与者群体身份之间的一致性增加了声音较少的群体中的积极参与 (相互作用P=.003).
- 视频参与显示了更高参与度的趋势,但在统计学上并不显著 (P=.11).
结论:
- 在ECHO模型有效地利用技术和劳动力的多样性,进行关于矿工护理的专业间讨论.
- 调查结果提供了关于在数字社区管理肺结核病的知识转移动态的见解.
- 未来的研究应该评估这个模型对患者结果的影响.
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