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医疗保健教育中的反馈可信度:一项系统综述与综合分析

Feedback Credibility in Healthcare Education: a Systematic Review and Synthesis.

作者信息

Dai Cecilia M, Bertram Kaitlyn, Chahine Saad

机构信息

Schulich School of Medicine & Dentistry, Western University, London, Ontario Canada.

Health Sciences Addition, Western University, Room H110B, London, Ontario N6A 5C1 Canada.

出版信息

Med Sci Educ. 2021 Jan 11;31(2):923-933. doi: 10.1007/s40670-020-01167-w. eCollection 2021 Apr.

Abstract

PURPOSE

The purpose of this study was to systematically review and synthesize factors that influence learners' perceptions of credibility when feedback is provided by an authority figure in a healthcare environment.

METHODS

This study reviewed literature from medicine, psychology, and education using systematic review and qualitative synthesis methods. In a multi-step process, major electronic bibliographic databases were searched for relevant studies until October 2020.

RESULTS

The search identified 9216 articles. A total of 134 abstracts underwent full-text review. Of these, 22 articles met inclusion criteria. The studies were heterogenous and the majority utilized a qualitative design with interviews and focus groups. A few studies employed mixed methodology ( = 2) and two studies used a quantitative design. Four main themes were identified: feedback characteristics, context of feedback, source credibility, and recipient characteristics.

CONCLUSION

As programs implement major educational change initiatives to create more formative assessment practices, feedback will become even more crucial. The four main themes identified are important factors that contribute to the perception of feedback credibility. While the factors are described independently, they may be viewed as interrelated and the association between these factors and feedback may be driven more by learning culture than each characteristic.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40670-020-01167-w.

摘要

目的

本研究旨在系统回顾和综合分析在医疗环境中由权威人物提供反馈时,影响学习者可信度认知的因素。

方法

本研究采用系统回顾和定性综合方法,对医学、心理学和教育学领域的文献进行回顾。在一个多步骤过程中,检索主要电子文献数据库以查找相关研究,直至2020年10月。

结果

检索共识别出9216篇文章。总共134篇摘要进行了全文审查。其中,22篇文章符合纳入标准。这些研究具有异质性,大多数采用定性设计,包括访谈和焦点小组。少数研究采用混合方法(n = 2),两项研究采用定量设计。确定了四个主要主题:反馈特征、反馈背景、来源可信度和接受者特征。

结论

随着各项目实施重大教育变革举措以创建更多形成性评估实践,反馈将变得更加关键。确定的四个主要主题是影响反馈可信度认知的重要因素。虽然这些因素是独立描述的,但它们可能被视为相互关联的,并且这些因素与反馈之间的关联可能更多地由学习文化而非每个特征驱动。

补充信息

在线版本包含可在10.1007/s40670-020-01167-w获取的补充材料。

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本文引用的文献

2
What are students' needs and preferences for academic feedback in higher education? A systematic review.
Nurse Educ Today. 2020 Feb;85:104236. doi: 10.1016/j.nedt.2019.104236. Epub 2019 Oct 22.
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Faculty feedback that begins with resident self-assessment: motivation is the key to success.
Med Educ. 2018 Mar;52(3):314-323. doi: 10.1111/medu.13484. Epub 2017 Dec 4.
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Med Teach. 2017 Jun;39(6):609-616. doi: 10.1080/0142159X.2017.1315082.
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Am I ready for it? Students' perceptions of meaningful feedback on entrustable professional activities.
Perspect Med Educ. 2017 Aug;6(4):256-264. doi: 10.1007/s40037-017-0361-1. Epub 2017 Jun 2.
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Multisource feedback to graduate nurses: a multimethod study.
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"It's Just Not the Culture": A Qualitative Study Exploring Residents' Perceptions of the Impact of Institutional Culture on Feedback.
Teach Learn Med. 2017 Apr-Jun;29(2):153-161. doi: 10.1080/10401334.2016.1244014. Epub 2016 Dec 21.

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