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带教对新毕业的视光师临床信心及公共卫生态度的影响

The Impact of Preceptorship for Newly Graduated Orthoptists on Clinical Confidence and Attitudes towards Public Health.

作者信息

Farrelly-Waters Martha, Mehta Jignasa

机构信息

Manchester Foundation Trust, GB.

University of Liverpool, GB.

出版信息

Br Ir Orthopt J. 2022 Jan 31;18(1):1-10. doi: 10.22599/bioj.248. eCollection 2022.

Abstract

BACKGROUND

Preceptorship has been found to ensure a positive and healthy start to a clinician's career. Evidence shows increased staff satisfaction and empowerment and decreased medical errors as a result of preceptorship. There is limited literature that includes allied health professionals, particularly new orthoptic graduates. This study aims to: 1) explore the effectiveness of the British and Irish Orthoptic Society (BIOS) preceptorship programme at providing support and confidence in newly graduated orthoptists, 2) explore new graduates' experience of embedding public health in their clinical practice.

METHODOLOGY

Focus groups were organised for mentors and mentees to discuss their experiences with the BIOS preceptorship programme and how it facilitated embedding public health into clinical practice. Constant comparison analysis was used to identify key themes of discussion.

FINDINGS

The preceptorship document promoted structure, reflection, and engagement all of which contributed to effective transition for the mentees. However, document navigation, lack of preceptorship exposure at undergraduate level and leadership engagement were potential barriers to using the programme. The programme encouraged public health engagement among new graduates but barriers such as time pressure, lack of experience and patient understanding were challenges that often prevented the adoption of public health skills and behaviours within their practice.

CONCLUSION

The BIOS preceptorship successfully supports new graduates in their transition into an autonomous practitioner. The programme could be improved by the implementation of a guidance document to assist mentors in their role. Preceptorship engagement could be improved by increasing exposure to undergraduate orthoptic students and departments alike.

摘要

背景

已发现导师制可确保临床医生职业生涯有一个积极健康的开端。证据表明,导师制可提高员工满意度和自主权,并减少医疗差错。但涉及专职医疗人员,尤其是新毕业的视光师的文献有限。本研究旨在:1)探讨英国和爱尔兰视光师协会(BIOS)导师制计划在为新毕业视光师提供支持和信心方面的有效性,2)探讨新毕业生将公共卫生融入临床实践的经历。

方法

为导师和学员组织了焦点小组,以讨论他们在BIOS导师制计划中的经历,以及该计划如何促进将公共卫生融入临床实践。采用持续比较分析法确定讨论的关键主题。

结果

导师制文件促进了结构、反思和参与,所有这些都有助于学员的有效过渡。然而,文件导航、本科阶段缺乏导师指导以及领导力参与是使用该计划的潜在障碍。该计划鼓励新毕业生参与公共卫生,但时间压力、经验不足和患者理解等障碍是实践中经常阻碍采用公共卫生技能和行为的挑战。

结论

BIOS导师制成功支持新毕业生过渡为自主从业者。可通过实施指导文件来协助导师履行职责,从而改进该计划。通过增加本科视光学学生和各部门的接触机会,可提高导师指导的参与度。

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