Research Center of the Centre Hospitalier Universitaire de Québec, Hospital St-François D'Assise, Québec, Canada.
Implement Sci. 2011 Mar 7;6:17. doi: 10.1186/1748-5908-6-17.
Continuing professional development (CPD) is one of the principal means by which health professionals (i.e. primary care physicians and specialists) maintain, improve, and broaden the knowledge and skills required for optimal patient care and safety. However, the lack of a widely accepted instrument to assess the impact of CPD activities on clinical practice thwarts researchers' comparisons of the effectiveness of CPD activities. Using an integrated model for the study of healthcare professionals' behaviour, our objective is to develop a theory-based, valid, reliable global instrument to assess the impact of accredited CPD activities on clinical practice.
Phase 1: We will analyze the instruments identified in a systematic review of factors influencing health professionals' behaviours using criteria that reflect the literature on measurement development and CPD decision makers' priorities. The outcome of this phase will be an inventory of instruments based on social cognitive theories. Phase 2: Working from this inventory, the most relevant instruments and their related items for assessing the concepts listed in the integrated model will be selected. Through an e-Delphi process, we will verify whether these instruments are acceptable, what aspects need revision, and whether important items are missing and should be added. The outcome of this phase will be a new global instrument integrating the most relevant tools to fit our integrated model of healthcare professionals' behaviour. Phase 3: Two data collections are planned: (1) a test-retest of the new instrument, including item analysis, to assess its reliability and (2) a study using the instrument before and after CPD activities with a randomly selected control group to explore the instrument's mere-measurement effect. Phase 4: We will conduct individual interviews and focus groups with key stakeholders to identify anticipated barriers and enablers for implementing the new instrument in CPD practice. Phase 5: Drawing on the results from the previous phases, we will use consensus-building methods to develop with the decision makers a plan to implement the new instrument.
This project proposes to give stakeholders a theory-based global instrument to validly and reliably measure the impacts of CPD activities on clinical practice, thus laying the groundwork for more targeted and effective knowledge-translation interventions in the future.
继续专业发展（CPD）是卫生专业人员（即初级保健医生和专家）保持、提高和拓宽最佳患者护理和安全所需知识和技能的主要手段之一。然而，缺乏广泛接受的工具来评估 CPD 活动对临床实践的影响，这阻碍了研究人员对 CPD 活动效果的比较。本研究旨在使用医疗保健专业人员行为研究的综合模型，开发一种基于理论、有效且可靠的全球工具，以评估经认可的 CPD 活动对临床实践的影响。
第 1 阶段：我们将使用反映文献中关于测量开发和 CPD 决策者优先事项的标准，分析系统综述中确定的影响健康专业人员行为的工具。这一阶段的结果将是基于社会认知理论的工具清单。第 2 阶段：从这个清单中，将选择最相关的工具及其相关项目来评估综合模型中列出的概念。通过电子德尔菲法，我们将验证这些工具是否可接受、需要修改哪些方面、以及是否缺少重要项目并应添加。这一阶段的结果将是一个新的全球工具，整合了最相关的工具，以适应我们的医疗保健专业人员行为综合模型。第 3 阶段：计划进行两次数据收集：（1）新工具的测试-再测试，包括项目分析，以评估其可靠性；（2）在 CPD 活动前后使用新工具进行研究，并随机选择对照组，以探索工具的纯粹测量效果。第 4 阶段：我们将与关键利益相关者进行个人访谈和焦点小组讨论，以确定在 CPD 实践中实施新工具的预期障碍和促成因素。第 5 阶段：根据前几个阶段的结果，我们将使用共识建立方法与决策者一起制定实施新工具的计划。
该项目旨在为利益相关者提供一个基于理论的全球工具，以有效且可靠地衡量 CPD 活动对临床实践的影响，为未来更有针对性和有效的知识转化干预奠定基础。
