实施建议,以优化医疗工作场所的专业支持:一种参与式的方法
E Reynolds1, H Lloyd1, J Cleland2
1Faculty of Health, University of Plymouth, Plymouth, UK.
Medical education
|October 14, 2025
概括
实施基于证据的医生支持建议是具有挑战性的. 成功需要时间,信任和理解环境,而不仅仅是可衡量的结果.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 对于医生来说,专业的支持和补救仍然是研究不足的.
- 基于证据的建议和医疗专业人员在工作场所的实施之间存在差距.
- 这项研究解决了优化医生专业支持计划的需要.
研究的目的:
- 在英国医疗保健机构实施和评估专业支持和补救的基于证据的建议.
- 弥合研究成果与医生的专业发展中的实际应用之间的差距.
- 探索影响采用支持和补救策略的因素.
主要方法:
- 在五个英国地点使用参与行动研究 (PAR) 方法.
- 与35个利益相关方的研讨会提供了信息,观察和采访.
- 在卫生服务研究实施促进行动 (i-PARIHs) 框架中,以演分析为指导.
主要成果:
- 创新方面包括建议的视角,语言和语调;受益人重视各种类型的证据.
- 受理者的动机和上下文因素 (资源,组织角色) 显著影响了参与.
- 观察到建议的采用有限,突出了促进方面的挑战.
结论:
- 在实践中成功实施研究是复杂和耗时的.
- 有价值的成果包括新的学习,改善关系和提高意识.
- 需要更多地讨论如何将研究成果应用于医学教育中.
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