常规在临床实践中调解教育解决方案：基于设计的研究讨论论文

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-02-01 DOI:10.1016/j.nepr.2025.104279

Jettie Vreugdenhil , Louti Broeksma , Jos Dobber , Rashmi A. Kusurkar

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引用次数: 0

摘要

目的本研究旨在通过探讨以下研究问题，探讨采用基于设计的研究方法诱导变革的适宜性：在医院实践中实施新的学习工具如何导致可持续的变革？虽然以设计为基础的研究是以弥合理论/实践差距的理念进行的，但我们认为设计，制定和可持续变化之间存在差距。我们认为，语境——尤其是惯例——在这一差距中起着决定性的作用。基于设计的定性教育研究方法基于案例的设计研究方法探讨。用理论解释模型解释了案例研究的结果。结果对实践、套路和套路动态的理论进行了探索。常规动力学的确定元素可能与我们的背景、发现和经验有关。从案例数据中，一个令人大开眼界的见解浮现出来。在基于设计的研究的各个阶段中，语境，特别是在这种语境中流行的惯例和新惯例是重要的组成部分。此外，常规动力学的要素可以解释制定的差异和在护理临床实践中建立新的教育常规所涉及的困难。结论将常规动力学纳入DBR研究方案是确保在临床实践中成功设计和实施一种新的教育工具的必要补充。

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Routines mediate educational solutions in clinical practice: A discussion paper on design-based research

Aim

This study aimed to explore the appropriateness of using a design-based research approach in inducing change by exploring the research question: How can implementing new learning tools in hospital practice lead to sustainable change?

Background

Although design-based research is conducted with the idea of bridging the theory/practice gap, we perceived a gap between design, enactment and sustainable change. We assume that context—particularly routines—plays a decisive role in this gap.

Design

Qualitative design-based educational research

Methods

Discussion of the design-based research approach based on a case study. The results of the case study are interpreted with a theoretical explanatory model.

Results

We explored theories about practice, routines and routine dynamics. The identified elements of routine dynamics could be related to our context, findings and experiences. From the case data, an eye-opening insight emerged. Context, especially the prevailing routines and new routines to be developed in this context, are significant constituents in all phases of design-based research. Furthermore, elements of routine dynamics can explain the variance in enactment and the difficulties involved in establishing a new educational routine in nursing clinical practice.

Conclusion

The inclusion of routine dynamics in the DBR research protocol is a necessary addition to ensure the successful design and implementation of a new educational tool in clinical practice.

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.