影响医疗保健实践中持续专业发展的行为决定因素:一种定性研究
Heba Al-Omary1, Abderrezzaq Soltani2, Derek Stewart1
1College of Pharmacy, QU Health, Qatar University, Doha, Qatar.
International journal of clinical pharmacy
|January 16, 2026
概括
持续专业发展 (CPD) 学习融入实践受能力,机会和动机的影响. 解决时间限制和组织支持等障碍是持续实践变革和改善患者护理的关键.
科学领域:
- 医疗保健专业教育 医疗保健专业教育
- 医学中的行为科学.
- 持续的专业发展 (CPD)
背景情况:
- 从持续专业发展 (CPD) 中的学习融入实践受到行为,组织和系统层面的因素的影响.
- 关于理解CPD学习实施的行为决定因素的理论框架的研究有限.
- 行为决定因素在很大程度上影响了医疗保健专业人员如何运用通过CPD活动获得的新知识和技能.
研究的目的:
- 调查影响从CPD活动到医疗保健实践中的学习实施的关键行为决定因素.
- 了解能力,机会和动机等因素如何影响CPD学习转化为临床实践.
- 确定参与CPD后行为变化的理论基础.
主要方法:
- 对11名医疗保健专业人员进行半结构化采访,在CPD研讨会后4-6周.
- 利用COM-B模型指导面试问题和分析行为决定因素.
- 将新兴主题映射到COM-B领域,并将行为变化轮 (BCW) 应用于干预建议.
主要成果:
- 所有参与者都报告说,在某种程度上,他们在实践中应用了CPD学习.
- 能力,机会和动机都影响了实施,动机是关键驱动因素.
- 专业责任和对患者积极结果的满意度激发了行为变化; 时间限制和工作量构成了重大机会障碍,特别是在社区药房.
结论:
- 行为决定因素的复杂相互作用影响了CPD学习转化为临床实践.
- 有效的CPD计划必须解决设置特定的障碍 (时间,工作量,组织支持) 以提高动机和维持实践变化.
- 根据行为决定因素定制CPD设计可以改善学习整合,并最终提高患者护理结果.
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