Freeman Jodie, Raabe Andreas, Schmitz Felix, Guttormsen Sissel
Department of Neurosurgery, Inselspital, University Hospital Bern, Bern, Switzerland.
Institute of Medical Education, Medical Faculty, University of Bern, Bern, Switzerland.
BMC Med Educ. 2024 Jul 16;24(1):763. doi: 10.1186/s12909-024-05692-9.
Given the changes in the current learning environment health professionals are facing major challenges to keep up with current and updated information with the rapidly growing clinical and scientific knowledge base. Being able to identify relevant, high-quality articles, adapt or adopt to new learning strategies with an already intense workload are just a few of the main challenges. Self-directed learning is a key skill of competent health professionals and describes the process by which individuals evaluate their learning needs, goals and the resources needed for learning, however the emerging problems for professionals practicing SDL are manifold.
A qualitative, exploratory approach based on four research questions was used to understand how skilled neurosurgeons maintain and update their professional knowledge. Twenty-six neurosurgeons within the University Hospital of Bern completed a semi-structured interview.
One of the main findings concerns the differences between neurosurgeons regarding the SDL strategies they employ, which is compounded by their level of experience. All participants recognized that new or alternative learning approaches are necessary to manage the learning landscape, and for many this concerned their use of learning digital tools. Many, however, were unsure how to change their current behavior.
The results highlight that positive factors influencing SDL in the workplace include learning leadership and support in identifying new or alternative strategies, an internal culture committed to learning as well as digital learning tools and networks. All are vital in managing the continuously evolving learning environment.
鉴于当前学习环境的变化，卫生专业人员在跟上快速增长的临床和科学知识库中的最新信息方面面临重大挑战。能够识别相关的高质量文章，在已经繁重的工作量下适应或采用新的学习策略只是其中的一些主要挑战。自主学习是胜任的卫生专业人员的一项关键技能，它描述了个人评估自己的学习需求、目标以及学习所需资源的过程，然而，从事自主学习的专业人员面临的新问题是多方面的。
采用基于四个研究问题的定性探索性方法，以了解熟练的神经外科医生如何保持和更新他们的专业知识。伯尔尼大学医院的26名神经外科医生完成了一次半结构化访谈。
主要发现之一涉及神经外科医生在他们采用的自主学习策略方面的差异，这种差异因他们的经验水平而加剧。所有参与者都认识到，新的或替代的学习方法对于应对学习环境是必要的，对许多人来说，这涉及到他们对数字学习工具的使用。然而，许多人不确定如何改变他们目前的行为。
结果表明，影响工作场所自主学习的积极因素包括学习领导力以及在识别新的或替代策略方面的支持、致力于学习的内部文化以及数字学习工具和网络。所有这些对于管理不断演变的学习环境都至关重要。
