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通过改进科学培训转变欧洲未来的医疗保健劳动力:一种定性方法。

Transforming the Future Healthcare Workforce across Europe through Improvement Science Training: A Qualitative Approach.

机构信息

Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain.

Polytechnic School (EPSA), University of Alicante, 03690 Alicante, Spain.

出版信息

Int J Environ Res Public Health. 2021 Feb 1;18(3):1298. doi: 10.3390/ijerph18031298.

DOI:10.3390/ijerph18031298
PMID:33535542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7908231/
Abstract

Healthcare improvement science (HIS) is the generation of knowledge to cultivate change towards improving health systems performance. Our purpose was to evaluate the experience of European nursing students after an intensive one-week summer program conducted in 2019 at the University of Alicante in Spain. The educational intervention combined theoretical and practical HIS contents, with students from different countries, educational programs, and health systems. The intervention was evaluated under a qualitative approach through the open discussion group technique based on the method of participatory action research (PAR), with a total of 25 students who reflected about their experiences and perceptions during the intervention. The responses were used to improve the program's contents, its didactics, and organization. Nursing empowerment, professional recognition, and healthcare research were some of the seven main categories identified through the systematic content analysis method triangulated by three experienced researchers. According to the students' replies, values like compassion, respect, or empathy were identified as key elements of care. Promoting international students' networking emerged as the key to creating a positive provision for change and the generation of improvement initiatives. Building a HIS culture may potentially provide future healthcare professionals with critical thinking skills and the resources needed to improve their future work settings.

摘要

医疗保健改进科学(HIS)是为培养改善卫生系统绩效的变革而产生的知识。我们的目的是评估 2019 年在西班牙阿利坎特大学进行的为期一周的暑期强化项目后,欧洲护理学生的经验。该教育干预结合了理论和实践的 HIS 内容,涉及来自不同国家、教育计划和卫生系统的学生。该干预措施通过基于参与式行动研究(PAR)方法的开放式讨论小组技术,以定性方法进行评估,共有 25 名学生对干预期间的经验和看法进行了反思。根据学生的反馈,对课程内容、教学法和组织进行了改进。通过三位经验丰富的研究人员进行三角交叉的系统内容分析方法,确定了七个主要类别,包括护理赋权、专业认可和医疗保健研究。根据学生的回答,同情、尊重或同理心等价值观被确定为护理的关键要素。促进国际学生的交流成为创造积极变革和产生改进倡议的关键。建立 HIS 文化可能为未来的医疗保健专业人员提供批判性思维技能和改善未来工作环境所需的资源。

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本文引用的文献

1
Mapping the Status of Healthcare Improvement Science through a Narrative Review in Six European Countries.通过在六个欧洲国家进行的叙述性综述来描绘医疗保健改善科学的现状。
Int J Environ Res Public Health. 2019 Nov 14;16(22):4480. doi: 10.3390/ijerph16224480.
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How to improve healthcare improvement-an essay by Mary Dixon-Woods.如何改善医疗保健——玛丽·迪克森 - 伍兹的一篇文章
BMJ. 2019 Oct 1;367:l5514. doi: 10.1136/bmj.l5514.
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The importance of professional values from nursing students' perspective.从护生角度看职业价值观的重要性。
BMC Nurs. 2019 Jul 5;18:26. doi: 10.1186/s12912-019-0351-1. eCollection 2019.
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The impact of compassionate care education on nurses: A mixed-method systematic review.共情护理教育对护士的影响:一项混合方法系统评价。
J Adv Nurs. 2019 Nov;75(11):2340-2351. doi: 10.1111/jan.14088. Epub 2019 Jun 20.
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Developing a framework for evaluating the impact of Healthcare Improvement Science Education across Europe: a qualitative study.构建一个评估欧洲医疗保健改进科学教育影响的框架:一项定性研究。
J Educ Eval Health Prof. 2017 Nov 29;14:28. doi: 10.3352/jeehp.2017.14.28. eCollection 2017.
6
The development of a consensus definition for healthcare improvement science (HIS) in seven European countries: A consensus methods approach.七个欧洲国家医疗保健改进科学(HIS)共识定义的制定:一种共识方法。
Zdr Varst. 2017 Feb 26;56(2):82-90. doi: 10.1515/sjph-2017-0011. eCollection 2017 Jun 1.
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Nurse Educ Today. 2016 Jul;42:41-6. doi: 10.1016/j.nedt.2016.03.023. Epub 2016 Apr 8.
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BMJ Qual Saf. 2015 May;24(5):325-36. doi: 10.1136/bmjqs-2014-003620. Epub 2015 Mar 25.
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Springerplus. 2013 Apr 2;2(1):141. doi: 10.1186/2193-1801-2-141. Print 2013 Dec.