沟通指导计划的实施和评估:CFIR-Informed定性分析映射到逻辑模型上
Rachel M Jensen1, Marzena Sasnal2,3, Uyen T Mai2
1Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
BMC medical education
|April 25, 2025
概括
这项研究评估了研究生医学教育中由教师领导的沟通指导计划. 结果为改善医生沟通培训和计划有效性提供了见解.
科学领域:
- 医学教育 医学教育
- 健康 职业 教育 教育 专业
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 研究生医学教育中的辅导计划可以增强跨核心能力的实习生发展.
- 严格的程序评估对于确保这些指导举措的有效性至关重要.
- 这项研究对一个多部门,由教师领导的沟通指导计划进行了定性评估.
研究的目的:
- 在医学研究生教育中对教师领导的沟通指导计划的实施进行质量评估.
- 使用逻辑模型框架来评估计划实施并确定需要改进的领域.
- 收集关键利益相关者对医生沟通培训需求和计划有效性的观点.
主要方法:
- 与来自四个利益相关方组的35名参与者进行了半结构化访谈:居民教练,教师教练,医学教育领导者和程序性赞助商.
- 实施研究综合框架 (CFIR) 指导了代码书的开发和专题分析.
- 新兴主题被映射到逻辑模型的领域 (上下文,输入/输出,结果,评估) 结构发现.
主要成果:
- 确定了8个新兴主题,并将它们映射到逻辑模型领域.
- 背景主题包括在沟通教育中发现的差距以及以患者为中心的重要性.
- 成果主题强调了以学习为重点和与患者相关的好处,以及定义和评估计划成功的挑战.
结论:
- 将CFIR信息主题映射到逻辑模型中,为医疗教育中整合计划实施和评估提供了一种新的策略.
- 这些发现为改进沟通指导计划提供了可操作的见解,以更好地满足利益相关者的需求.
- 这种方法支持在医学研究生教育中开发更有效和更可持续的教育计划.
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