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高等教育中针对医学生的辅导干预以改善心理健康:一项混合研究综述。

Coaching interventions among healthcare students in tertiary education to improve mental well-being: A mixed studies review.

作者信息

Shorey Shefaly, Ang Emily, Chua Joelle Yan Xin, Goh Poh Sun

机构信息

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore 117597, Singapore.

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore 117597, Singapore.

出版信息

Nurse Educ Today. 2022 Feb;109:105222. doi: 10.1016/j.nedt.2021.105222. Epub 2021 Nov 16.

Abstract

OBJECTIVES

To consolidate the available evidence regarding healthcare students' experiences of coaching interventions' effect on their mental well-being in tertiary educational institutions.

DESIGN

A mixed studies review.

DATA SOURCES

Seven electronic databases were searched for relevant studies from their inception dates until July 2021: PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus and ProQuest Dissertations and Theses Global.

REVIEW METHODS

This review observed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and was guided by Pluye and Hong's (2014) framework for mixed studies review. Quality appraisal of included studies was conducted using the Mixed Methods Appraisal Tool. A convergent qualitative synthesis design for mixed studies reviews was adopted to analyze all findings and thematic analysis was conducted according to Braun and Clarke's (2006) framework.

RESULTS

Three themes and seven subthemes are generated from the 12 included studies. The main themes are: 1) Receiving much-needed help, 2) Unlocking the secrets of success, and 3) Way forward for coaching in healthcare education.

CONCLUSIONS

Many students benefited from the coaching interventions in terms of academic, emotional and psychological support and received guidance in professional development. However, careful preparation of both coaches and students is needed to improve the success of coaching interventions. Future coaching interventions could incorporate both group and individual sessions, assign students to coaches based on their clinical interests and consider conducting online coaching sessions using video calls. Improvement of study rigor would be required to achieve more accurate results. Lastly, future studies should be conducted on healthcare students of more diverse disciplines and cultures to increase results' generalizability.

摘要

目的

整合现有证据,以了解在高等教育机构中,医学生对辅导干预对其心理健康影响的体验。

设计

混合研究综述。

数据来源

检索了七个电子数据库,以查找从其创建日期到2021年7月的相关研究:PubMed、Embase、CINAHL、PsycINFO、科学网、Scopus以及ProQuest学位论文与全球博硕士论文数据库。

综述方法

本综述遵循系统评价和Meta分析的首选报告项目(PRISMA)指南,并以Pluye和Hong(2014年)的混合研究综述框架为指导。使用混合方法评价工具对纳入研究进行质量评估。采用混合研究综述的收敛性定性综合设计来分析所有结果,并根据Braun和Clarke(2006年)的框架进行主题分析。

结果

12项纳入研究产生了三个主题和七个子主题。主要主题为:1)获得急需的帮助,2)揭开成功的秘密,3)医疗保健教育中辅导的未来发展方向。

结论

许多学生在学业、情感和心理支持方面从辅导干预中受益,并在职业发展中获得了指导。然而,需要对辅导教师和学生都进行精心准备,以提高辅导干预的成功率。未来的辅导干预可以结合小组和个人辅导课程,根据学生的临床兴趣为其分配辅导教师,并考虑使用视频通话进行在线辅导课程。需要提高研究的严谨性以获得更准确的结果。最后,未来应针对更多不同学科和文化背景的医学生开展研究,以提高结果的普遍性。

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