Centre for Research in Assessment and Digital Learning, Deakin University, Melbourne, Victoria, Australia.
Department of Allied Health Services, Gold Coast University Hospital and Health Service, Southport, Queensland, Australia.
Med Educ. 2020 Oct;54(10):908-914. doi: 10.1111/medu.14156. Epub 2020 May 1.
A range of research methods have been used to understand effective workplace learning in the health professions. The impact of findings from this research usually requires knowledge translation activities in the form of faculty development initiatives, such as supervisor workshops. Far rarer, but with greater potential, are research approaches that concurrently seek to understand and change practice through empowering clinicians to refine aspects of their practice.
In this methodological article, we describe video-reflexive ethnography (VRE), a collaborative visual research approach that seeks to capture, illuminate and optimise in situ work and education practices. Video-reflexive ethnography usually has three phases: (a) initial familiarisation with practice through field observations; (b) video-recording of practice, and (c) reflexive sessions about the edited footage with participants and researchers. Drawing on our own experiences as researchers using VRE, we discuss four key principles of VRE: (a) exnovation; (b) collaboration; (c) reflexivity, and (d) care.
Although VRE has been used to illuminate and understand health professionals education, its potential for changing clinical education practices has yet to be realised. Video-reflexive ethnography enables observation of the social and relational interactions in health care practice and allows individual (and group) perspectives to be articulated and analysed. The approach can prompt fresh perspectives and insights into health care education and practice for researchers and clinicians through shared deliberations about how practice might be reimagined and enacted.
已经使用了一系列研究方法来了解卫生专业人员有效的工作场所学习。 此类研究结果的影响通常需要通过教师发展计划（例如主管研讨会）以知识转化活动的形式进行。 但更罕见的是，通过赋予临床医生改进其实践的能力来同时寻求理解和改变实践的研究方法具有更大的潜力。
在本文的方法部分，我们描述了视频反思民族志（VRE），这是一种协作的视觉研究方法，旨在捕捉、阐明和优化现场工作和教育实践。 视频反思民族志通常有三个阶段：（a）通过实地观察初步熟悉实践；（b）记录实践；（c）与参与者和研究人员一起对编辑的片段进行反思。 我们借鉴了作为使用 VRE 的研究人员的经验，讨论了 VRE 的四个关键原则：（a）超越；（b）合作；（c）反思；（d）关怀。
尽管 VRE 已用于阐明和了解卫生专业人员的教育，但它改变临床教育实践的潜力尚未实现。 视频反思民族志能够观察医疗保健实践中的社会和关系互动，并允许表达和分析个人（和团体）的观点。 该方法可以通过对如何重新构想和实施实践进行共同审议，为研究人员和临床医生提供有关医疗保健教育和实践的新视角和见解。
