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评估针对住院医师开展的关于英国国家医疗服务体系价值观教学课程的影响:对参与者反思的主题分析

Evaluating the impact of teaching sessions on NHS values to foundation doctors: a thematic analysis of participants' reflections.

作者信息

Watkins Linda, Sochart Sarita, Baker Paul

机构信息

Glasgow Royal Infirmary, Glasgow, UK.

Pennine Acute Hospitals NHS Trust, Greater Manchester, UK.

出版信息

Future Healthc J. 2021 Jul;8(2):e277-e282. doi: 10.7861/fhj.2020-0055.

DOI:10.7861/fhj.2020-0055
PMID:34286198
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8285132/
Abstract

BACKGROUND

The Francis report highlighted the role of culture and values within the NHS. How to effectively teach the values of the NHS constitution remains unanswered. We evaluated NHS values training delivered to foundation doctors.

METHODS

Standardised training was delivered to foundation doctors throughout the school. Post-session reflective forms were voluntarily completed by participants. Reflections over a 2-year period were analysed and thematic qualitative analysis performed.

RESULTS

One-hundred and thirty-one reflections were analysed. Common words included patients, caring and communication. Many themes were patient focused including 'advocating for patients / patient-centred care', 'patient safety' and 'small things = big difference'. Other themes were directly linked to specific values presented (eg 'dignity', 'teamwork' and 'compassion/empathy') or related to personal development (eg 'encouraging and improving reflection' and 'changing own practice').

CONCLUSION

Patient focus and a spectrum of themes were demonstrated; this session can address a variety of values and produce key lessons in learners.

摘要

背景

《弗朗西斯报告》强调了国民医疗服务体系(NHS)中文化和价值观的作用。如何有效地传授NHS宪法的价值观仍未得到解答。我们评估了向住院医生提供的NHS价值观培训。

方法

对全校的住院医生进行标准化培训。参与者自愿填写课后反思表。分析了两年期间的反思内容,并进行了主题定性分析。

结果

分析了131份反思内容。常见词汇包括患者、关怀和沟通。许多主题都以患者为中心,包括“为患者代言/以患者为中心的护理”、“患者安全”和“小事 = 大不同”。其他主题与所呈现的特定价值观直接相关(如“尊严”、“团队合作”和“同情/同理心”)或与个人发展相关(如“鼓励和改进反思”以及“改变自己的做法”)。

结论

展示了以患者为重点和一系列主题;本次培训可以涵盖各种价值观,并为学习者提供关键经验教训。

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Teaching professionalism in orthopaedic surgery residency programs.在骨科住院医师培训项目中传授职业素养
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