影响低收入和中等收入国家医疗保健专业人员临床学习环境的因素：一项范围综述方案

Factors shaping learning in clinical environments for healthcare professionals in low- and middle-income countries: a scoping review protocol.

作者信息

Soosay Raj Trisha, Noble Christy, Moreira Daniel C, Gray Amy Zigrida

机构信息

Oncology Services Group, Queensland Children's Hospital, Brisbane, Queensland, Australia

Children's Health Queensland Clinical Unit, University of Queensland, Brisbane, Queensland, Australia.

出版信息

BMJ Open. 2025 Mar 18;15(3):e095787. doi: 10.1136/bmjopen-2024-095787.

DOI:10.1136/bmjopen-2024-095787

PMID:40107703

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11927475/

Abstract

INTRODUCTION

The clinical environment is recognised to influence learning for healthcare professionals, with the described challenges likely extenuated in low- and middle-income countries that are tackling resource limitations. There is limited research on factors influencing learning in clinical environments in low- and middle-income countries, with no scoping review on this topic published to date. This review will identify the key factors described to shape learning in clinical environments for healthcare professionals in low- and middle-income countries.

METHODS AND ANALYSIS

A scoping review will be performed according to Joanna Briggs Institute (JBI) methodology and reported following Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. Databases to be searched include MEDLINE (Ovid), Embase (Elsevier), CINAHL (EBSCO), Web of Science, ERIC (Education Resources Information Center) and Global Health (CABI) from 1990 to present with no language restriction. Following abstract and full-text screening by two independent reviewers, data will be extracted by two independent reviewers and presented in diagrammatic or tabular form, accompanied by a narrative summary. Results will be summarised using quantitative and qualitative analyses. Data will be organised using the components of the clinical learning environment to present factors shaping learning, described challenges, outcomes of interventions and reported recommendations for improvement.

ETHICS AND DISSEMINATION

Ethics approval is not required. Findings will be disseminated through conference presentations and publication in a scientific journal. Results will be used to inform future studies exploring stakeholder perspectives on clinical learning in paediatric oncology in low- and middle-income countries.

TRIAL REGISTRATION DETAILS

This protocol was registered on Open Science Framework on 5 September 2024; https://osf.io/ysedk.

摘要

引言

临床环境被认为会影响医疗保健专业人员的学习，而在面临资源限制的低收入和中等收入国家，上述挑战可能会更加突出。关于影响低收入和中等收入国家临床环境中学习的因素的研究有限，迄今为止尚未发表关于该主题的范围综述。本综述将确定所描述的影响低收入和中等收入国家医疗保健专业人员在临床环境中学习的关键因素。

方法与分析

将根据乔安娜·布里格斯研究所（JBI）的方法进行范围综述，并按照系统评价和Meta分析扩展的范围综述首选报告项目指南进行报告。将检索的数据库包括1990年至今的MEDLINE（Ovid）、Embase（爱思唯尔）、CINAHL（EBSCO）、科学网、教育资源信息中心（ERIC）和全球健康（CABI），无语言限制。由两名独立评审员进行文献筛选，之后由两名独立评审员提取数据，并以图表或表格形式呈现，同时伴有叙述性总结。结果将通过定量和定性分析进行总结。将使用临床学习环境的组成部分来组织数据，以呈现影响学习的因素、所描述的挑战、干预措施的结果以及报告的改进建议。