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将循证实践教育融入研究生物理治疗课程:八年的课程前后评估

Embedding Evidence-based Practice Education into a Post-graduate Physiotherapy Program: Eight Years of pre-Post Course Evaluations.

作者信息

Perraton L, Machotka Z, Grimmer K, Gibbs C, Mahar C, Kennedy K

机构信息

International Centre for Allied Health Evidence (iCAHE), University of South Australia, Adelaide, South Australia, Australia.

School of Exercise Science, Australian Catholic University, Fitzroy, Victoria, Australia.

出版信息

Physiother Res Int. 2017 Apr;22(2). doi: 10.1002/pri.1659. Epub 2016 Feb 19.

Abstract

BACKGROUND AND PURPOSE

Little has been published about the effectiveness of training postgraduate physiotherapy coursework students in research methods and evidence-based practice (EBP) theory. Graduate qualities in most universities include lifelong learning. Inclusion of EBP in post-graduate coursework students' training is one way for students to develop the knowledge and skills needed to implement current best evidence in their clinical practice after graduation, thereby facilitating lifelong learning. This paper reports on change in confidence and anxiety in knowledge of statistical terminology and concepts related to research design and EBP in eight consecutive years of post-graduate physiotherapy students at one Australian university.

METHODS

Pre-survey/post-survey instruments were administered to students in an intensive 3-week post-graduate course, which taught health research methods, biostatistics and EBP. This course was embedded into a post-graduate physiotherapy programme from 2007 to 2014. The organization and delivery of the course was based on best pedagogical evidence for effectively teaching adult physiotherapists. The course was first delivered each year in the programme, and no other course was delivered concurrently.

RESULTS

There were significant improvements in confidence, significantly decreased anxiety and improvements in knowledge of statistical terminology and concepts related to research design and EBP, at course completion. Age, gender and country of origin were not confounders on learning outcomes, although there was a (non-significant) trend that years of practice negatively impacted on learning outcomes (p = 0.09). There was a greater improvement in confidence in statistical terminology than in concepts related to research design and EBP.

CONCLUSION

An intensive teaching programme in health research methods and biostatistics and EBP, based on best practice adult physiotherapy learning principles, is effective immediately post-course, in decreasing anxiety and increasing confidence in the terminology used in research methods and EBP. Copyright © 2016 John Wiley & Sons, Ltd.

摘要

背景与目的

关于对研究生物理治疗课程学生进行研究方法和循证实践(EBP)理论培训的效果,相关文献报道较少。大多数大学的毕业生素质要求包括终身学习。将循证实践纳入研究生课程学生的培训,是让学生掌握毕业后在临床实践中应用当前最佳证据所需知识和技能的一种方式,从而促进终身学习。本文报告了澳大利亚一所大学连续八年的研究生物理治疗专业学生在统计术语知识以及与研究设计和循证实践相关概念方面的信心和焦虑变化情况。

方法

在为期3周的强化研究生课程中,对学生进行课前/课后问卷调查。该课程教授健康研究方法、生物统计学和循证实践。2007年至2014年期间,此课程被纳入研究生物理治疗项目。课程的组织与授课基于有效教授成年物理治疗师的最佳教学证据。该课程每年在项目中首次开课,且无其他课程同时进行。

结果

课程结束时,学生在信心方面有显著提高,焦虑显著降低,在与研究设计和循证实践相关的统计术语和概念知识方面也有所提升。年龄、性别和原籍国对学习成果无干扰影响,尽管存在一种(不显著的)趋势,即从业年限对学习成果有负面影响(p = 0.09)。与研究设计和循证实践相关的概念相比,学生在统计术语方面的信心提升更大。

结论

基于成年物理治疗最佳学习原则的健康研究方法、生物统计学和循证实践强化教学项目,在课程结束后即刻有效,能降低焦虑,并增强学生对研究方法和循证实践中所用术语的信心。版权所有© 2016约翰威立父子有限公司。

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