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持续专业发展:研究非技术能力有助于临床医生进行认知重新评估并减轻压力。

Continuing professional development: researching non-technical competencies can support cognitive reappraisal and reduced stress in clinicians.

作者信息

Kinnison Tierney, May Stephen

机构信息

The Royal Veterinary College, Hatfield, UK.

出版信息

Vet Rec. 2017 Sep 9;181(10):266. doi: 10.1136/vr.104426. Epub 2017 Aug 20.

DOI:10.1136/vr.104426
PMID:28823992
Abstract

Generic professional capabilities (non-technical competencies) are increasingly valued for their links to patient outcomes and clinician well-being. This study explores the emotional change, and practice-related outcomes, of participants of a veterinary professional key skills (PKS) continuing professional development (CPD) module. Reflective summaries produced by participants were analysed. A change in emotion, from 'negative' to 'positive', was the focus of analysis. Sections regarding these emotions were thematically analysed. Analysis was performed on 46 summaries. Three themes were identified: 'the PKS module' (centred on reluctance becoming surprise and stimulation), 'developing non-technical competencies' (unease to confidence) and 'stress and coping through a reflective focus' (anxiety to harmony). The changing emotions were connected to positive cognitive reappraisal and often behaviour changes, benefitting self, practice, clients and patients. The PKS module teaches participants to reflect; a new and challenging concept. The consequences of this enabled participants to understand the importance of professional topics, to be appreciative as well as critical, and to enjoy their job. Importantly, the module stimulated coping responses. Better understanding of roles led to participants having more reasonable expectations of themselves, more appreciation of their work and reduced stress. This research supports more attention to professional skills CPD for health professions.

摘要

通用专业能力(非技术能力)因其与患者治疗结果和临床医生幸福感的关联而日益受到重视。本研究探讨了兽医专业关键技能(PKS)持续专业发展(CPD)模块参与者的情绪变化及与实践相关的结果。对参与者撰写的反思总结进行了分析。情绪从“消极”到“积极”的变化是分析的重点。对这些情绪相关部分进行了主题分析。共分析了46份总结。确定了三个主题:“PKS模块”(以从不情愿到惊讶和受到激励为中心)、“培养非技术能力”(从不自在到自信)以及“通过反思性关注应对压力”(从焦虑到和谐)。情绪的变化与积极的认知重新评价以及通常的行为改变相关联,对自身、实践、客户和患者都有益处。PKS模块教导参与者进行反思;这是一个新颖且具有挑战性的概念。其结果使参与者能够理解专业主题的重要性,既能欣赏又能批判,并享受自己的工作。重要的是,该模块激发了应对反应。对角色的更好理解使参与者对自己有更合理的期望,更欣赏自己的工作并减轻了压力。本研究支持对卫生专业人员的专业技能持续专业发展给予更多关注。

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