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对评估卫生专业学生公共卫生教育的研究进行的范围综述。

A scoping review of studies evaluating the education of health professional students about public health.

机构信息

Milken Institute of Public Health, George Washington University, Washington, DC, United States.

Saint Louis University, St. Louis, United States.

出版信息

Public Health. 2020 Jan;178:105-111. doi: 10.1016/j.puhe.2019.08.019. Epub 2019 Oct 24.

Abstract

BACKGROUND

The purpose of this article is to identify and describe key components of research into the teaching methods of public health to postgraduate students.

STUDY DESIGN

This is a systematic review of the published literature.

METHODS

A detailed search of the literature based on keywords, Boolean operators, and free-text terms, identified from PubMed, Scopus and ERIC, published in the English language, between January 2000 and December 2017, was made. Teams of independent pairs agreed studies eligible for the review and performed data extraction.

RESULTS

Of the 2,442 potential studies on education of public health professionals, 86 met all the inclusion criteria. Specific study designs, data collection, and techniques for data analysis varied widely across the individual studies, and there was a lack of consistency on the whole. The number of students in each study ranged from ten to 1,300. Forty-seven studies used quantitative methods to assess the effectiveness of teaching. Curriculum evaluation was the most common focus (n = 33), followed by course evaluation (n = 22). Few studies considered inequalities in terms of the types of students registered on the different courses/programs, with just three evaluating strategies to increase students from minority ethnic groups. Most studies evaluated short-term or medium-term outcomes rather than long-term impacts of education on students' careers or the relationship of education in meeting future public health workforce demands.

CONCLUSIONS

This comprehensive systematic review identified a dearth of the literature on evaluations of approaches for teaching public health to health professions students. Those studies that had been published varied to such an extent in terms of their aims, methods, analysis, and results such that it was impossible to make any consistent comparisons of the observations reported in the studies. We conclude that evidence-based approaches for teaching public health to health professions students are either not sought by faculty and programs or, if conducted, not shared. As such, there are likely to be missed opportunities for ensuring that future graduates of health professions programs are as well prepared as possible to contribute to the health of the public.

摘要

背景

本文旨在识别和描述研究生公共卫生教学方法研究的关键组成部分。

研究设计

这是对已发表文献的系统回顾。

方法

根据从 PubMed、Scopus 和 ERIC 中确定的关键词、布尔运算符和自由文本术语,对 2000 年 1 月至 2017 年 12 月期间以英文发表的文献进行了详细的搜索。独立的双人小组同意符合审查标准的研究,并进行数据提取。

结果

在 2442 项公共卫生专业人员教育的潜在研究中,有 86 项符合所有纳入标准。个别研究的具体研究设计、数据收集和数据分析技术差异很大,整体上缺乏一致性。每项研究中的学生人数从 10 人到 1300 人不等。47 项研究使用定量方法评估教学的有效性。课程评估是最常见的焦点(n=33),其次是课程评估(n=22)。很少有研究考虑到不同课程/项目注册学生类型的不平等,只有三项评估策略旨在增加少数民族学生的数量。大多数研究评估短期或中期结果,而不是教育对学生职业生涯的长期影响或教育满足未来公共卫生劳动力需求的关系。

结论

本全面系统回顾发现,关于评估向卫生专业学生教授公共卫生方法的文献很少。已发表的研究在其目的、方法、分析和结果方面差异如此之大,以至于不可能对研究报告的观察结果进行任何一致的比较。我们的结论是,向卫生专业学生教授公共卫生的循证方法要么不为教师和课程所寻求,要么如果进行了,也没有分享。因此,可能会错失机会,确保未来卫生专业课程的毕业生尽可能做好准备,为公众健康做出贡献。

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