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目标驱动设计:一个知识传播门户的案例报告

Purpose-Driven Design: A Case Report of a Knowledge Mobilization Portal.

作者信息

Hamza Deena M, MacLeod Anna, Sherbino Jonathan, Artino Anthony R, Dzara Kristina, Maggio Lauren A, Parker Robin, Varpio Lara

机构信息

Office of Postgraduate Medical Education, Department of Medicine, University of Alberta, Canada.

Continuing Professional Development and Medical Education Research, Faculty of Medicine, Dalhousie University, Halifax, Canada.

出版信息

Perspect Med Educ. 2025 Sep 16;14(1):570-577. doi: 10.5334/pme.1791. eCollection 2025.

DOI:10.5334/pme.1791
PMID:40977922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12447794/
Abstract

BACKGROUND & NEED FOR INNOVATION: Synthesizing academic literature is a foundational skill in health professions education (HPE), enabling evidence-informed decision-making and continuous improvement. However, privileging one review type as the "gold standard" reinforces a narrow hierarchy of evidence, marginalizing alternative worldviews and synthesis approaches.

GOAL OF INNOVATION

This innovation aimed to broaden understanding and legitimate use of diverse literature synthesis methods by developing an accessible knowledge mobilization portal to support learners, educators, and scholars across the HPE community.

STEPS TAKEN FOR DEVELOPMENT AND IMPLEMENTATION OF INNOVATION

We developed to showcase eight literature synthesis methods-the Literature Review Series (LRS). The Eco-Normalization Framework guided the design, implementation, and reflexive evaluation of the portal, aligning the innovation with contextual affordances and user needs. A collaborative, values-driven approach supported content co-creation, informed by lived experience, mutual trust, and a shared commitment to inclusivity.

EVALUATION OF INNOVATION

The platform successfully launched and has been sustained through a network of contributors. Informal feedback and web analytics suggest positive engagement, and early adopters report its utility in teaching and research contexts. The innovation's resonance stems not only from its content but from the relationships and shared purpose underlying its development.

CRITICAL REFLECTION ON YOUR PROCESS

Key catalysts included: (1) friendship as an often-overlooked motivator in academic work; (2) trust and relationships that fostered momentum; and (3) a shared vision that anchored the innovation. These relational dimensions were as critical as the technical design in ensuring uptake and sustainability.

摘要

背景与创新需求

综合学术文献是健康职业教育(HPE)中的一项基础技能,有助于做出基于证据的决策并实现持续改进。然而,将一种综述类型视为“黄金标准”强化了狭隘的证据等级制度,将其他世界观和综合方法边缘化。

创新目标

这项创新旨在通过开发一个易于使用的知识传播门户,以支持HPE社区的学习者、教育工作者和学者,从而拓宽对各种文献综合方法的理解并合理使用这些方法。

创新开发与实施的步骤

我们开发了文献综述系列(LRS)来展示八种文献综合方法。生态归一化框架指导了该门户的设计、实施和反思性评估,使创新与情境条件和用户需求保持一致。一种协作的、价值观驱动的方法支持内容共创,其依据是实际经验、相互信任和对包容性的共同承诺。

创新评估

该平台已成功推出,并通过一个贡献者网络得以持续运营。非正式反馈和网络分析表明用户参与度很高,早期采用者报告了其在教学和研究背景下的实用性。这项创新的影响力不仅源于其内容,还源于其发展背后的关系和共同目标。

对过程的批判性反思

关键推动因素包括:(1)友谊作为学术工作中常被忽视的动力;(2)促进发展势头的信任和关系;(3)作为创新基础的共同愿景。这些关系维度在确保采用率和可持续性方面与技术设计同样重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c44/12447794/da5b49e008fb/pme-14-1-1791-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c44/12447794/bde075855155/pme-14-1-1791-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c44/12447794/da5b49e008fb/pme-14-1-1791-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c44/12447794/bde075855155/pme-14-1-1791-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c44/12447794/da5b49e008fb/pme-14-1-1791-g2.jpg

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本文引用的文献

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Perspect Med Educ. 2024 Mar 18;13(1):201-223. doi: 10.5334/pme.1096. eCollection 2024.
2
The case for metacognitive reflection: a theory integrative review with implications for medical education.元认知反思的作用:一种理论综合综述及其对医学教育的启示。
Adv Health Sci Educ Theory Pract. 2024 Sep;29(4):1481-1500. doi: 10.1007/s10459-023-10310-2. Epub 2024 Feb 12.
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Recommendations for Publishing Innovation Reports in JCEHP.
J Contin Educ Health Prof. 2023 Apr 1;43(2):73-76. doi: 10.1097/CEH.0000000000000515. Epub 2023 May 18.
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Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a researcher.迈向主题分析的良好实践:避免常见问题并成为一名研究者。
Int J Transgend Health. 2022 Oct 25;24(1):1-6. doi: 10.1080/26895269.2022.2129597. eCollection 2023.
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Introduction to the JGME Literature Review Series.《研究生医学教育认证委员会文献综述系列介绍》
J Grad Med Educ. 2021 Dec;13(6):797-800. doi: 10.4300/JGME-D-21-00945.1. Epub 2021 Dec 14.
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Eco-Normalization: Evaluating the Longevity of an Innovation in Context.生态正常化:在背景下评估创新的持久性。
Acad Med. 2021 Nov 1;96(11S):S48-S53. doi: 10.1097/ACM.0000000000004318.
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Knowledge syntheses in medical education: A bibliometric analysis.医学教育领域的知识综合:文献计量分析。
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Time to challenge the spurious hierarchy of systematic over narrative reviews?是时候挑战系统评价高于叙述性综述这种虚假的等级制度了?
Eur J Clin Invest. 2018 Jun;48(6):e12931. doi: 10.1111/eci.12931. Epub 2018 Apr 16.
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The Literature Review: A Foundation for High-Quality Medical Education Research.文献综述:高质量医学教育研究的基础
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Med Educ. 2010 Apr;44(4):358-66. doi: 10.1111/j.1365-2923.2009.03611.x.