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接受度和可行性的虚拟社区的实践为基层医疗专业人员关于病人授权:一个定性的初步研究。

Acceptability and feasibility of a virtual community of practice to primary care professionals regarding patient empowerment: a qualitative pilot study.

机构信息

Unidad de Apoyo Técnico, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Calle San Martín de Porres 6, 28035, Madrid, Spain.

Departamento de Enfermería, Universidad Autónoma de Madrid, Calle Arzobispo Morcillo 4, 28029, Madrid, Spain.

出版信息

BMC Health Serv Res. 2019 Jun 20;19(1):403. doi: 10.1186/s12913-019-4185-z.

Abstract

BACKGROUND

Virtual communities of practice (vCoPs) facilitate online learning via the exchange of experiences and knowledge between interested participants. Compared to other communities, vCoPs need to overcome technological structures and specific barriers. Our objective was to pilot the acceptability and feasibility of a vCoP aimed at improving the attitudes of primary care professionals to the empowerment of patients with chronic conditions.

METHODS

We used a qualitative approach based on 2 focus groups: one composed of 6 general practitioners and the other of 6 practice nurses. Discussion guidelines on the topics to be investigated were provided to the moderator. Sessions were audio-recorded and transcribed verbatim. Thematic analysis was performed using the ATLAS-ti software.

RESULTS

The available operating systems and browsers and the lack of suitable spaces and time were reported as the main difficulties with the vCoP. The vCoP was perceived to be a flexible learning mode that provided up-to-date resources applicable to routine practice and offered a space for the exchange of experiences and approaches.

CONCLUSIONS

The results from this pilot study show that the vCoP was considered useful for learning how to empower patients. However, while vCoPs have the potential to facilitate learning and as shown create professional awareness regarding patient empowerment, attention needs to be paid to technological and access issues and the time demands on professionals. We collected relevant inputs to improve the features, content and educational methods to be included in further vCoP implementation.

TRIAL REGISTRATION

ClinicalTrials.gov , NCT02757781 . Registered on 25 April 2016.

摘要

背景

实践虚拟社区(vCoP)通过有兴趣的参与者之间经验和知识的交流促进在线学习。与其他社区相比,vCoP 需要克服技术结构和特定的障碍。我们的目的是试验一个旨在改善初级保健专业人员对慢性病患者赋权态度的 vCoP 的可接受性和可行性。

方法

我们采用了基于 2 个焦点小组的定性方法:一个由 6 名全科医生组成,另一个由 6 名执业护士组成。向主持人提供了关于要调查主题的讨论指南。会议进行了录音,并逐字记录下来。使用 ATLAS-ti 软件对主题分析进行了分析。

结果

报告的 vCoP 的主要困难是现有操作系统和浏览器以及缺乏合适的空间和时间。vCoP 被认为是一种灵活的学习模式,提供了适用于日常实践的最新资源,并提供了一个交流经验和方法的空间。

结论

这项试点研究的结果表明,vCoP 被认为是学习如何赋予患者权力的有用工具。然而,虽然 vCoP 有可能促进学习,并如所示的那样提高对患者赋权的专业意识,但需要关注技术和访问问题以及对专业人员的时间要求。我们收集了相关的投入,以改进要包含在进一步 vCoP 实施中的功能、内容和教育方法。

试验注册

ClinicalTrials.gov,NCT02757781。于 2016 年 4 月 25 日注册。

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