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优化对早期职业专业人员的反馈:范围综述和新框架。

Optimising feedback for early career professionals: a scoping review and new framework.

机构信息

Centre for Research in Professional Learning, University of Exeter, Exeter, UK.

Collaboration for the Advancement of Medical Education Research and Assessment, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK.

出版信息

Med Educ. 2019 Apr;53(4):355-368. doi: 10.1111/medu.13794. Epub 2019 Mar 3.

Abstract

CONTEXT

Meta-analyses have shown that feedback can be a powerful intervention to increase learning and performance but there is significant variability in impact. New trials are adding little to the question of whether feedback interventions are effective, so the focus now is how to optimise the effect. Early career professionals (ECPs) in busy work environments are a particularly important target group. This literature review aimed to synthesise information to support the optimal design of feedback interventions for ECPs.

METHODS

We undertook a scoping literature review, using search terms such as 'feedback' and 'effectiveness' in MEDLINE, MEDLINE-In-Process, PsycINFO, CINAHL, Education Research Complete, Education Resources Information Center, the Cochrane Database of Systematic Reviews, the Social Sciences Citation Index and Applied Social Sciences Index and Abstracts, to identify empirical studies describing feedback interventions in busy workplaces published in English since 1990. We applied inclusion criteria to identify studies for the mapping stage and extracted key data to inform the next stage. We then selected a subset of papers for the framework development stage, which were subjected to a thematic synthesis by three authors, leading to a new feedback framework and a modified version of feedback intervention theory specifically for ECPs.

RESULTS

A total of 80 studies were included in the mapping stage, with roughly equal studies from hospital settings and school classrooms, and 17 papers were included in the framework development stage. The feedback framework comprised three main categories (audit, feedback and goal setting) and 22 subcategories. The review highlighted the limited empirical research focusing solely on feedback for ECPs, which was surprising given the particular nuances in feedback for ECPs identified through this study.

CONCLUSIONS

We offer the feedback framework to optimise the design of future feedback interventions for early career professionals and encourage future feedback research to move away from generic models and tailor work to specific target audiences.

摘要

背景

荟萃分析表明,反馈可以是一种增强学习和表现的有力干预措施,但影响存在显著差异。新试验对反馈干预是否有效的问题增加甚少,因此现在的重点是如何优化效果。在忙碌的工作环境中的早期职业专业人员(ECP)是一个特别重要的目标群体。本文献综述旨在综合信息,以支持为 ECP 设计最佳反馈干预措施。

方法

我们进行了范围广泛的文献综述,在 MEDLINE、MEDLINE-In-Process、PsycINFO、CINAHL、Education Research Complete、Education Resources Information Center、Cochrane 系统评价数据库、社会科学引文索引和应用社会科学索引和摘要中使用了“反馈”和“有效性”等搜索词,以确定自 1990 年以来以英文发表的描述忙碌工作场所中反馈干预措施的实证研究。我们应用纳入标准来确定映射阶段的研究,并提取关键数据为下一阶段提供信息。然后,我们选择了一组论文进行框架开发阶段,这组论文由三位作者进行主题综合,从而形成了一个新的反馈框架和一个专门针对 ECP 的反馈干预理论的修订版本。

结果

共有 80 项研究纳入映射阶段,其中来自医院环境和学校教室的研究大致相等,17 项研究纳入框架开发阶段。反馈框架包括三个主要类别(审计、反馈和目标设定)和 22 个子类别。该综述突出了针对 ECP 仅关注反馈的有限实证研究,这令人惊讶,因为通过这项研究确定了 ECP 反馈的特殊细微差别。

结论

我们提供反馈框架来优化未来针对早期职业专业人员的反馈干预设计,并鼓励未来的反馈研究摆脱通用模型,针对特定目标受众定制工作。

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