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继续专业发展的价值:对处理有复杂需求儿童的多学科健康访视员研讨会的现实评估。

The value of continuing professional development: A realistic evaluation of a multi-disciplinary workshop for health visitors dealing with children with complex needs.

机构信息

Northumbria University Newcastle, Department of Nursing, Midwifery and Health, Coach lane campus, Benton, Newcastle upon Tyne NE77XA, UK.

Newcastle University & Northumbria Health Care NHS Foundation Trust, School of Medical Education, The Medical School, Ridley Building 1, NE1 7RU, UK.

出版信息

Nurse Educ Today. 2018 Aug;67:56-63. doi: 10.1016/j.nedt.2018.04.021. Epub 2018 Apr 21.

DOI:10.1016/j.nedt.2018.04.021
PMID:29754114
Abstract

BACKGROUND

Continuing Professional Development is important for maintaining and developing knowledge and skills. Evidence regarding direct impact on practice is limited. Existing literature often lacks sufficient detail regarding the initiative or its evaluation, making transferability problematic.

OBJECTIVE

To explore the impact and perceived value of multi-disciplinary Continuing Professional Development workshops for Health Visitors who support families with children with complex health needs.

DESIGN

Realistic Evaluation principles guided the research. Workshop attendees were invited to participate (n.21), 81% (n.17) agreed. Data collection included a questionnaire and semi-structured interviews. Data analysis included descriptive statistics and qualitative thematic analysis.

SETTING

One North of England Health Service Trust.

FINDINGS

Interrelated temporal themes emerged. Before the workshop expectations included, uncertainty regarding content and ambiguity regarding attendance. During workshops comments focused on networking opportunities, the detail, content and facilitation of the learning experience. 'Emotional safety' enabled interaction, sharing and absorption of information, and potentially increased trust, confidence and social capital. Participants viewed the workshop as informative, enhancing insight regarding roles, services and processes. Post-workshop participants reported examples of practice enhancements attributed to workshop attendance including: confidence building; improved team working; facilitation of early referral and accessing additional support for families.

CONCLUSIONS

Findings suggest initiative developers aiming CPD at new or existing teams need to consider nurturing social capital and to pay attention to the context and mechanisms, which can prompt attendance, engagement and subsequent practice application.

摘要

背景

持续专业发展对于维护和发展知识和技能很重要。关于对实践的直接影响的证据有限。现有的文献往往缺乏关于该倡议或其评估的足够详细信息,使得可转移性成为问题。

目的

探索多学科持续专业发展研讨会对支持有复杂健康需求的儿童的家庭的健康访视员的影响和感知价值。

设计

现实评估原则指导了这项研究。邀请了研讨会的参与者(n.21),81%(n.17)同意参加。数据收集包括问卷和半结构化访谈。数据分析包括描述性统计和定性主题分析。

设置

英格兰北部一个卫生服务信托机构。

发现

相关的时间主题出现了。在研讨会之前,参与者的期望包括对内容的不确定性和对出席的模糊性。在研讨会期间,评论集中在网络机会、学习体验的细节、内容和促进上。“情感安全”使互动、分享和吸收信息成为可能,并可能增加信任、信心和社会资本。参与者认为研讨会内容丰富,增强了对角色、服务和流程的了解。研讨会结束后,参与者报告了一些归因于参加研讨会的实践增强的例子,包括:建立信心;改善团队合作;促进早期转介和为家庭获得额外支持。

结论

研究结果表明,旨在为新团队或现有团队提供持续专业发展的倡议者需要考虑培养社会资本,并关注可以促使参与者参与、投入和随后应用实践的背景和机制。

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