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在线职业治疗临床教育者伦理教育:一项单组前后测研究。

On-line ethics education for occupational therapy clinician-educators: a single-group pre-/post-test study.

机构信息

School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.

出版信息

Disabil Rehabil. 2019 Nov;41(23):2841-2853. doi: 10.1080/09638288.2018.1473510. Epub 2018 May 20.

Abstract

Ethics education is a critical component of training rehabilitation practitioners. There is a need for capacity-building among ethics educators regarding facilitating ethical decision-making among students. The purpose of this study was to evaluate the utility of an on-line ethics education module for occupational therapy clinician-educators (problem-based learning tutors/clinical placement preceptors/evidence-based practice facilitators). The informed development and evaluation of the module. Clinician-educators ( = 33) viewed the module and reported on its impact on knowledge and facilitation practices via pre, post, and follow-up questionnaires. Pre- and post-test data indicated improvement in self-reported ethics knowledge ( = 8.275,  < 0.01). Follow-up data indicated knowledge did not decrease over time ( = -1.483,  = 0.075). There was improvement in self-reported intent to change practice ( = 4.93,  < 0.01); however, actual practice change was not indicated ( = -1.499,  = 0.072). This study provides preliminary data regarding an on-line ethics education module for clinician-educators. Future recommendations include broader consideration of context, adding supplemental knowledge translation components, and further research exploring outcomes with larger samples, longer follow-up and randomized trial methodology.Implications for RehabilitationThe on-line ethics module has potential to improve rehabilitation practice by addressing the noted gap in knowledge among clinician-educators.Viewing an on-line module regarding approaches to ethics education may not be sufficient to change clinician-educators' teaching practices.More time and opportunities to discuss ethics with student occupational therapists may be required to effect practice change among clinician-educators.Developing ethics education tools for clinician-educators requires ongoing and iterative input from knowledge users to optimize translation of ideas to practice.

摘要

伦理教育是培训康复从业者的重要组成部分。伦理教育者在促进学生做出伦理决策方面需要能力建设。本研究的目的是评估在线伦理教育模块对职业治疗临床教育者(基于问题的学习导师/临床实习导师/循证实践促进者)的效用。模块的开发和评估。临床教育者( = 33)观看了该模块,并通过预、后和随访问卷报告了其对知识和促进实践的影响。预测试和后测试数据表明,自我报告的伦理知识有所提高( = 8.275,  < 0.01)。随访数据表明,知识随时间没有减少( = -1.483,  = 0.075)。自我报告的改变实践意向有所提高( = 4.93,  < 0.01);然而,实际的实践改变并没有表明( = -1.499,  = 0.072)。本研究提供了有关临床教育者在线伦理教育模块的初步数据。未来的建议包括更广泛地考虑背景,增加补充知识转化成分,并进一步研究探索更大样本、更长随访时间和随机试验方法的结果。对康复的影响在线伦理模块有可能通过解决临床教育者知识差距来改善康复实践。观看在线模块关于伦理教育方法可能不足以改变临床教育者的教学实践。可能需要与学生职业治疗师进行更多的讨论伦理的时间和机会,以改变临床教育者的实践。为临床教育者开发伦理教育工具需要知识使用者的持续和迭代投入,以优化将理念转化为实践。

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