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临床领导力教育——一项范围综述方案

Clinical leadership education-A scoping review protocol.

作者信息

Vaaben Naja, Dieckmann Peter, Møller Ann Merete

机构信息

University of Copenhagen, Copenhagen, Denmark.

Herlev Hospital, Herlev, Denmark.

出版信息

Acta Anaesthesiol Scand. 2025 Mar;69(3):e14591. doi: 10.1111/aas.14591.

DOI:10.1111/aas.14591
PMID:39989016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11848231/
Abstract

INTRODUCTION

Leadership is a key skill for physicians, but studies show that many junior doctors feel unprepared for the role as a leader. In recent years, there has been increasing interest and research into the training and development of clinical leadership, revolving around leadership in situations with direct patient care and as opposed to the administrative leadership of a department. However, the lack of consensus on how best to teach leadership, how the education should be structured, as well as a standardized definition and measure for good leadership, complicates training, assessment, and comparison of approaches in both research and education.

OBJECTIVE

The aim of this study is to map out the existing body of research on leadership education for physicians and medical students and identify any gaps in this literature.

METHODS

The scoping review will follow the Arksey and O'Malley (Arksey and O'Malley, Int J Soc Res Methodol. 2005; 8(1):19-32) framework, Joanna Briggs Institute methodology (JBI Manual for Evidence Synthesis-JBI Global Wiki) and PRISMA_ScR (Tricco et al., Ann Intern Med. 2018; 169(7):467-473). A systematic search will be conducted across the following databases: PubMed, Cochrane, Embase, Ebsco, Medline, and Google scholar. Two independent reviewers will screen titles and abstracts, then review the full texts of articles. Data will be extracted and presented in line with the review questions.

STRENGTHS AND LIMITATIONS OF THIS STUDY

The study will use a structured approach, as guided by Arksey and O'Malley and JBI methodology. Studies not written in English, Danish, German, Swedish, and Norwegian will be translated using available software. This review will not include a formal assessment of the study quality or meta-analysis, as it is a scoping review.

摘要

引言

领导力是医生的一项关键技能,但研究表明,许多初级医生对担任领导角色感到准备不足。近年来,人们对临床领导力的培训和发展越来越感兴趣并开展了相关研究,其重点是直接参与患者护理情境中的领导力,而非部门的行政领导能力。然而,对于如何以最佳方式教授领导力、教育应如何构建,以及良好领导力的标准化定义和衡量标准,缺乏共识,这使得研究和教育中的培训、评估及方法比较变得复杂。

目的

本研究的目的是梳理关于医生和医学生领导力教育的现有研究文献,并找出该文献中的任何空白。

方法

范围综述将遵循阿克西和奥马利(Arksey和O'Malley,《国际社会研究方法杂志》。2005年;8(1):19 - 32)的框架、乔安娜·布里格斯研究所方法(JBI证据综合手册 - JBI全球维基)和PRISMA_ScR(特里科等人,《内科学年鉴》。《内科学年鉴》。2018年;169(7):467 - 473)。将在以下数据库中进行系统检索:PubMed、Cochrane、Embase、Ebsco、Medline和谷歌学术。两名独立评审员将筛选标题和摘要,然后审查文章全文。将根据综述问题提取并呈现数据。

本研究的优势与局限性

本研究将采用结构化方法,以阿克西和奥马利以及JBI方法为指导。非英文、丹麦文、德文、瑞典文和挪威文撰写的研究将使用可用软件进行翻译。由于这是一项范围综述,本综述将不包括对研究质量的正式评估或荟萃分析。

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本文引用的文献

1
Exploring medical students' perspectives of physician leadership.探讨医学生对医师领导力的看法。
BMC Med Educ. 2023 Jan 5;23(1):10. doi: 10.1186/s12909-022-03971-x.
2
Medical Student Leadership Development through a Business School Partnership Model: A Case Study and Implementation Strategy.通过商学院合作模式开展医学生领导力培养:一项案例研究与实施策略
J Med Educ Curric Dev. 2021 Apr 27;8:23821205211010479. doi: 10.1177/23821205211010479. eCollection 2021 Jan-Dec.
3
Perceived barriers to medical leadership training and methods to mitigate them in the undergraduate medical curriculum: A mixed-methods study of final-year medical students at two medical schools.本科医学课程中医学领导力培训的感知障碍及缓解方法:对两所医学院校最后一年医学生的混合方法研究
Future Healthc J. 2020 Oct;7(3):e11-e16. doi: 10.7861/fhj.2019-0075.
4
Preparedness of medical students and junior doctors for their role as clinical leaders: A systematic review.医学生和初级医生为临床领导角色做准备的情况:系统评价。
Med Teach. 2020 Jan;42(1):79-85. doi: 10.1080/0142159X.2019.1665632. Epub 2019 Sep 30.
5
A systematic review of leadership training for medical students.对医学生领导力培训的系统评价。
N Z Med J. 2018 Jan 19;131(1468):75-84.
6
Encouraging formative assessments of leadership for foundation doctors.鼓励对住院医师进行领导力的形成性评估。
Clin Teach. 2015 Aug;12(4):231-5. doi: 10.1111/tct.12289. Epub 2015 Jun 18.
7
Leadership and management for all doctors.面向全体医生的领导力与管理
Br J Gen Pract. 2012 May;62(598):230-1. doi: 10.3399/bjgp12X636290.