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COST行动21122项目中医疗保健专业人员和医学生对老年医学的教育需求:混合方法调查方案

Educational Needs in Geriatric Medicine Among Health Care Professionals and Medical Students in COST Action 21122 PROGRAMMING: Mixed-Methods Survey Protocol.

作者信息

Ogliari Giulia, Masud Tahir, Herghelegiu Anna Marie, Pavic Tajana, Wissendorff Ekdahl Anne, Piotrowicz Karolina, Duque Sofia, Benetos Athanase, Bogdanovic Nenad, Bonin-Guillaume Sylvie, Frost Rachael, Koca Meltem, Kossioni Anastassia, Kravvariti Evrydiki, Martínez-Velilla Nicolas, McKeown William, Roller-Wirnsberger Regina, Savas Sumru, Vassallo Michael, Yellon Tamar, Petrovic Mirko, Kotsani Marina

机构信息

Department of Health Care of Older People, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.

Department of Internal Medicine, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

出版信息

JMIR Res Protoc. 2025 Jun 3;14:e64985. doi: 10.2196/64985.

Abstract

BACKGROUND

The European Cooperation in Science and Technology (COST) Action 21122, PROmoting GeRiAtric Medicine in countries where it is still eMergING (PROGRAMMING) developed an online open survey to assess the educational interests and needs of health care professionals and final-year medical students across participating countries. This survey aims to establish a current baseline for developing educational content on geriatric medicine for nongeriatricians and a framework for its delivery.

OBJECTIVE

This paper describes the aim, development, structure, content, and dissemination of this survey.

METHODS

The mixed methods electronic survey, initially developed in English through a cocreation process with key stakeholders, was subsequently translated into 24 languages. It received ethics approval from multiple participating countries. Within- and cross-country analyses of the survey data will be conducted using descriptive and inferential statistics for quantitative data and content analyses for qualitative data. National and international teams will conduct analyses in parallel exploring responses within a specific country or region, professional category (or among medical students), or setting of work. Basic descriptive statistics and chi-square tests will evaluate differences in knowledge, relevance, and interest in geriatric topics across countries, professions, and settings of work. The effectiveness of formal education in geriatric medicine and clinical rotations in geriatric settings versus the lack thereof in promoting higher self-perceived knowledge on geriatric medicine topics will be explored using binary logistic regression. We will provide basic descriptive statistics (frequencies) of reported barriers to receiving further training in geriatric medicine and the effectiveness of various teaching methods as rated by the respondents and explore differences across countries, professions, and settings using chi-square tests. We will conduct qualitative content analyses of free-text responses to the questions exploring professionals' and medical students' thoughts on caring for older people and medical students' thoughts on becoming geriatricians.

RESULTS

The survey included the following sections: Informed Consent, Demographics, Topics and Skills, Medical Students vs. Professionals, Current Profession (for professionals), Previous Education in Geriatric Medicine (for professionals), Education in Geriatric Medicine (for medical students), Interest in Care of Older People or Geriatric Medicine, Suggestions for Courses in Care for Older People or Geriatric Medicine, and Closure. The survey was disseminated between October 9, 2023, and June 5, 2024, and received 6099 responses; after cleaning, there were 5922 (97.1%) responses (n=5474, 92.43% from professionals and n=448, 7.57% from medical students).

CONCLUSIONS

This survey's findings will inform educational projects across the PROGRAMMING countries. We will share these findings with national and international stakeholders, including professional societies, medical schools, and other relevant organizations. We will advocate for professional educational curricula to include geriatric topics rated as relevant by the survey respondents and promote clinical rotations in geriatric settings and teaching methods rated as effective by the survey respondents.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/64985.

摘要

背景

欧洲科技合作组织(COST)的21122行动“在老年医学尚在兴起的国家推广老年医学(PROGRAMMING)”开展了一项在线公开调查,以评估参与国医护人员和医学专业最后一年学生的教育兴趣和需求。这项调查旨在为非老年医学专业人员制定老年医学教育内容建立当前基线,并为其提供框架。

目的

本文描述了这项调查的目的、开发、结构、内容和传播情况。

方法

这项混合方法电子调查最初通过与关键利益相关者共同创建的过程以英文开发,随后被翻译成24种语言。它获得了多个参与国的伦理批准。将使用定量数据的描述性和推断性统计以及定性数据的内容分析对调查数据进行国内和跨国分析。国家和国际团队将并行进行分析,探索特定国家或地区、专业类别(或医学生群体)或工作环境中的回答。基本描述性统计和卡方检验将评估各国、各专业和不同工作环境中对老年医学主题的知识、相关性和兴趣的差异。将使用二元逻辑回归探讨老年医学正规教育和老年医学环境中的临床轮转与缺乏这些教育相比,在促进对老年医学主题的更高自我认知方面的有效性。我们将提供报告的老年医学进一步培训障碍的基本描述性统计(频率)以及受访者对各种教学方法有效性的评价,并使用卡方检验探索各国、各专业和不同工作环境之间的差异。我们将对关于医护人员和医学生对老年人护理的想法以及医学生对成为老年医学专家的想法的问题的自由文本回答进行定性内容分析。

结果

该调查包括以下部分:知情同意、人口统计学、主题和技能、医学生与专业人员、当前职业(针对专业人员)、老年医学既往教育(针对专业人员)、老年医学教育(针对医学生)、对老年人护理或老年医学的兴趣、对老年人护理或老年医学课程的建议以及结束部分。该调查于2023年10月9日至2024年6月5日期间进行,共收到6099份回复;清理后有5922份(97.1%)回复(n = 5474,92.43%来自专业人员,n = 448,7.57%来自医学生)。

结论

这项调查的结果将为PROGRAMMING国家的教育项目提供信息。我们将与国家和国际利益相关者分享这些结果,包括专业协会、医学院校和其他相关组织。我们将倡导专业教育课程纳入被调查受访者认为相关的老年医学主题,并推广在老年医学环境中的临床轮转以及被调查受访者认为有效的教学方法。

国际注册报告识别码(IRRID):DERR1-10.2196/64985

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