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教练对医学生健康和困扰的影响:系统评价方案。

Effects of coaching on medical student well-being and distress: a systematic review protocol.

机构信息

Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA

Depratment of Community & Behavioral Health, Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.

出版信息

BMJ Open. 2023 Aug 17;13(8):e073214. doi: 10.1136/bmjopen-2023-073214.

Abstract

INTRODUCTION

Medical students experience higher rates of distress and burnout compared with their age-similar peers overall. Coaching has been proposed as one means of combating distress and burnout within the medical profession. The purpose of this systematic review is to synthesise the current evidence on the effects of coaching interventions on medical student well-being, including engagement, resilience, quality of life, professional fulfilment and meaning in work and distress, including burnout, anxiety and depressive symptoms.

METHODS AND ANALYSIS

We will conduct a systematic review of interventional and observational comparative studies that assess the effects of coaching interventions on well-being, including engagement, resilience, quality of life, professional fulfilment and meaning in work and distress, including burnout, anxiety and depressive symptoms among undergraduate medical students internationally. We will search PubMed (MEDLINE), Embase (OVID), PsycINFO (OVID), Scopus, ERIC, Cochrane Database of Systematic Reviews (OVID) and Cochrane Central Register of Controlled Trials (OVID) from their respective inception dates using the following search terms: (medical students OR medical student OR undergraduate medical education) AND (coach OR coaching OR coaches). Studies in any language will be eligible. Studies that report one or more outcomes of distress or well-being among medical students who receive a coaching intervention will be included. Data on participant and intervention characteristics, outcomes and instruments used will be collected as well as quality/risk of bias assessments. Two reviewers will screen studies against the inclusion criteria and perform data extraction. We will conduct a narrative synthesis, with meta-analysis if evidence permits quantitative pooling of results. Heterogeneity of results across studies according to study design, learner level and study risk of bias will be evaluated, as well as publication bias.

ETHICS AND DISSEMINATION

Ethical approval is not required for this review. Results will be disseminated by publication in a scientific journal.

PROSPERO REGISTRATION NUMBER

CRD42022322503.

摘要

简介

与同龄人群相比,医学生的痛苦和倦怠感发生率更高。教练被认为是对抗医学专业人员痛苦和倦怠感的一种手段。本系统综述的目的是综合目前关于教练干预对医学生幸福感影响的证据,包括参与度、适应力、生活质量、职业满意度和工作意义以及痛苦,包括倦怠、焦虑和抑郁症状。

方法和分析

我们将对国际上评估教练干预对医学生幸福感(包括参与度、适应力、生活质量、职业满意度和工作意义以及痛苦,包括倦怠、焦虑和抑郁症状)影响的干预性和观察性比较研究进行系统综述。我们将使用以下搜索词在 PubMed(MEDLINE)、Embase(OVID)、PsycINFO(OVID)、Scopus、ERIC、Cochrane 系统评价数据库(OVID)和 Cochrane 对照试验中心注册库(OVID)从各自的起始日期进行搜索:(医学生或医学学生或本科医学教育)和(教练或教练或教练)。所有语言的研究都将符合条件。报告接受教练干预的医学生出现痛苦或幸福感的一个或多个结果的研究将被包括在内。将收集参与者和干预特征、结果以及使用的工具的数据,同时还将进行质量/偏倚风险评估。两名评审员将根据纳入标准筛选研究并进行数据提取。我们将进行叙述性综合分析,如果证据允许对结果进行定量汇总,则进行荟萃分析。将根据研究设计、学习者水平和研究偏倚风险评估研究结果的异质性,以及发表偏倚。

伦理和传播

本综述不需要伦理批准。结果将通过在科学期刊上发表来传播。

PROSPERO 注册号:CRD42022322503。

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