Surrendering to the Process: Innovation in Developing CPD for General Practice.

Stense Kromann Vestergaard, Ulla Bjerre-Christensen, Anne Mette Morcke, Torsten Risor
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Abstract

In CME/CPD, a significant part of research is about effectiveness. Attention to the development process can be vital to understand how it impacts progress and results. This study aims to explore an innovative process of applying a combined approach using design-based research, collaborative innovation, and program theory to develop CPD about type 2 diabetes for GPs and clinic nurses with a group of interprofessional stakeholders. In particular, the development process of the combined approach and how it impacts the progress and the activities. We applied two qualitative methods. First, we analysed 159 documents from the development process, and second, eight semi-structured key informant interviews. Data were deductively analysed using 15 predefined elements derived from the combined approach combined with open coding analyses. The analysis showed how the combined approach structured the process. And the interviews broadened our understanding of the relationship between the process and the activities. Four additional themes were constructed from the open coding, including surrender to the process. Surrendering was a central part of the interviewees' participation in the process. The combined approach facilitated this unfamiliar experience of surrender. By supporting participants to surrender, the combined approach enabled an expansion of interprofessional collaboration and the development of innovative activities and learning methods in CPD on type 2 diabetes.

向过程屈服:全科医师持续专业进修发展的创新。
在CME/CPD中,研究的一个重要部分是关于有效性的。关注开发过程对于理解它如何影响进展和结果是至关重要的。本研究旨在探索一种结合设计研究、协同创新和项目理论的创新过程,与一组跨专业利益相关者一起为全科医生和临床护士开发2型糖尿病持续发展课程。特别是,组合方法的开发过程以及它如何影响进度和活动。我们采用了两种定性方法。首先,我们分析了开发过程中的159份文件,其次,我们分析了8个半结构化的关键线人访谈。数据使用15个预定义元素进行演绎分析,这些元素来源于结合开放编码分析的组合方法。分析显示了组合方法是如何构建过程的。访谈拓宽了我们对过程和活动之间关系的理解。从开放编码中构建了另外四个主题,包括向过程投降。投降是受访者参与这个过程的核心部分。这种结合的方法促进了这种不熟悉的投降体验。通过支持参与者投降,联合方法扩大了跨专业合作,并在2型糖尿病持续专业发展中开发了创新活动和学习方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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