Chen Ya-Shin, Liao Kuo-Chen, Yau Sze-Yuen
Chang Gung Medical Education Research Centre, Chang Gung Memorial Hospital, No.5, Fuxing St., Guishan District, Taoyuan City, 333, Taiwan.
Division of Geriatrics and General Internal Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taiwan.
BMC Med Educ. 2025 Feb 25;25(1):302. doi: 10.1186/s12909-025-06792-w.
Medical education research plays a critical role in improving patient care and advancing medical practices, yet the engagement among healthcare professionals remains limited. This study aims to explore the factors that influence participation in medical education research and provide recommendations to foster a research-inclusive culture within healthcare institutions.
A comprehensive literature review was conducted across four databases: Web of Science, MEDLINE, Scopus, and Airiti Library. The search focused on studies published between 2002 and 2024, utilizing keywords related to 'medical education research,' facilitate,' 'engage,' and 'involve'. The initial search yielded 814 records. After removing duplicates and conducting a thorough screening process based on predefined inclusion and exclusion criteria, eight studies were selected for in-depth analysis. These studies were evaluated to identify key facilitators and barriers that influence research participation among healthcare professionals.
The analysis, guided by the Ecological Model, revealed a complex interplay of facilitators and barriers affecting research engagement. At the individual level, opportunities for professional development and career advancement emerged as significant facilitators. The interpersonal level highlighted the importance of leadership, mentorship, and peer support in fostering engagement. The environmental level, including institutional policies, funding availability, and protected research time, were identified as critical influences on participation.
The findings suggest that a holistic approach is needed to promote participation in medical education research, addressing factors at the individual, interpersonal and environmental levels. Recommendations include developing targeted strategies to improve intrinsic motivation among healthcare professionals, strengthening mentorship and peer support programs, and implementing supportive institutional policies that allocate dedicated research time and secure financial resources. By fostering a culture that values and facilitates medical education research, healthcare institutions can drive innovation in medical education, ultimately enhancing the quality of patient care and safety.
医学教育研究在改善患者护理和推进医学实践方面发挥着关键作用，但医疗保健专业人员的参与度仍然有限。本研究旨在探讨影响参与医学教育研究的因素，并提出建议，以在医疗机构中培育一种包容研究的文化。
对四个数据库进行了全面的文献综述：科学网、医学期刊数据库、Scopus和华艺数位图书馆。搜索重点是2002年至2024年发表的研究，使用与“医学教育研究”、“促进”、“参与”和“涉及”相关的关键词。初步搜索产生了814条记录。在去除重复项并根据预定义的纳入和排除标准进行全面筛选后，选择了八项研究进行深入分析。对这些研究进行评估，以确定影响医疗保健专业人员研究参与的关键促进因素和障碍。
在生态模型的指导下进行的分析揭示了影响研究参与的促进因素和障碍之间的复杂相互作用。在个人层面，专业发展和职业晋升机会成为重要的促进因素。人际层面强调了领导、指导和同伴支持在促进参与方面的重要性。环境层面，包括机构政策、资金可用性和受保护的研究时间，被确定为对参与的关键影响因素。
研究结果表明，需要采取整体方法来促进医学教育研究的参与，解决个人、人际和环境层面的因素。建议包括制定有针对性的策略，以提高医疗保健专业人员的内在动力，加强指导和同伴支持计划，以及实施支持性的机构政策，分配专门的研究时间并确保财政资源。通过培育一种重视并促进医学教育研究的文化，医疗机构可以推动医学教育的创新，最终提高患者护理质量和安全性。
