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探索作为当地持续专业发展(CPD)计划一部分的初级医疗保健专业学生及其导师对指导和临床治理的认识:一项定量调查的结果

Exploring Primary Healthcare Students and Their Mentors' Awareness of Mentorship and Clinical Governance as Part of a Local Continuing Professional Development (CPD) Program: Findings of a Quantitative Survey.

作者信息

McSherry Robert, Snowden Michael

机构信息

Professor of Nursing and Practice Development, National Health Service Calderdale Clinical Commissioning Group, Halifax HX3 5AX, UK.

School of Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK.

出版信息

Healthcare (Basel). 2019 Oct 2;7(4):113. doi: 10.3390/healthcare7040113.

Abstract

Research by Snowden [1] and Elwood et al. [2] exploring the benefits of mentoring and the place of clinical governance in enhancing care delivery illustrated an unexplored synonymous relationship between mentors and mentees (students at undergraduate and postgraduate levels) and its potential impact on patient safety and quality of care. The significance of the research was in recognizing the importance the role of the mentor can play in raising awareness of patient safety and clinical governance principles and processes in the primary healthcare setting. Building on Elwood et al.'s [2] preliminary research, this research aimed to explore primary healthcare workers and their mentor's awareness of mentorship and clinical governance as part of a local Continuing Professional Development (CPD) program. Furthermore, it aimed to establish any relationship between the mentors, the mentee, and their awareness and application of clinical governance in the primary healthcare setting. Methodology: A quantitative research design using a survey was adopted. The researchers integrated previously validated questionnaires incorporating Darling's [3] Measuring Mentor Potential Scale, Darwin's [4] Dimensions of Mentoring, and the Clinical Governance Awareness Questionnaire developed by McSherry and Pearce [5] into a new questionnaire. This was called "Mentorship and Clinical Governance Awareness". : Convenience sample surveys were posted to complete and return to 480 primary healthcare workers undertaking post graduate study. : A total of 112 completed questionnaires were included for the analysis amounting to a 23% response rate. A principle component factor analysis combining part 1-Darling's [3] characteristics of an effective mentor and part 2-Darwin's [4] personality characteristics of an effective mentor identified four primary characteristics. These are: (1) "A Facilitatory Adviser", (2) "Critically Enabling Facilitator", (3) "A Change Facilitator", and (4) "An Approachable Facilitator". These newly identified characterizations according to the primary healthcare workers significantly impacted on their awareness and application of clinical governance in primary healthcare practice. Implications for primary healthcare practice and education: The newly devised questionnaire can be used to gauge the effectiveness of mentors and mentoring and how the characteristics of the role can impact on mentee's awareness and application of clinical governance. Healthcare manager's, leaders, and educators should focus their attention on how these newly established characteristics of the mentor can influence clinical governance awareness and application in healthcare the future.

摘要

斯诺登[1]以及埃尔伍德等人[2]开展的研究,探索了指导的益处以及临床治理在提升护理服务中的地位,揭示了指导者与被指导者(本科及研究生阶段的学生)之间一种未被探索的同义关系及其对患者安全和护理质量的潜在影响。该研究的意义在于认识到指导者在提高初级卫生保健环境中患者安全及临床治理原则和流程的认识方面所能发挥的重要作用。基于埃尔伍德等人[2]的初步研究,本研究旨在探讨初级卫生保健工作者及其指导者对指导和临床治理的认识,作为当地持续专业发展(CPD)项目的一部分。此外,它旨在确定指导者、被指导者之间的关系,以及他们在初级卫生保健环境中对临床治理的认识和应用情况。方法:采用问卷调查的定量研究设计。研究人员将先前经过验证的问卷进行整合,这些问卷包括达林[3]的《衡量指导潜力量表》、达尔文[4]的《指导维度》以及麦克谢里和皮尔斯[5]编制的《临床治理意识问卷》,形成一份新问卷。这份问卷被称为“指导与临床治理意识问卷”。便利样本调查被发送给480名正在接受研究生学习的初级卫生保健工作者,让他们填写并返还。总共112份完整的问卷被纳入分析,回复率为23%。一项主成分因子分析结合了第一部分——达林[3]提出的有效指导者的特征和第二部分——达尔文[4]提出的有效指导者的人格特征,确定了四个主要特征。它们分别是:(1)“促进性顾问”,(2)“批判性赋能促进者”,(3)“变革促进者”,以及(4)“平易近人的促进者”。根据初级卫生保健工作者的说法,这些新确定的特征对他们在初级卫生保健实践中对临床治理的认识和应用产生了重大影响。对初级卫生保健实践和教育的启示:新设计的问卷可用于衡量指导者和指导工作的有效性,以及该角色的特征如何影响被指导者对临床治理的认识和应用。医疗保健管理者、领导者和教育工作者应关注指导者这些新确立的特征如何在未来影响医疗保健中临床治理的认识和应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52a8/6955968/a2f2a13f562a/healthcare-07-00113-g001.jpg

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