使一分钟训导模型适应瑞典的情况——临床导师在初级卫生保健中的使用经验。

IF 1.8 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Erica Rothlind, Helena Salminen, Katarina Rolfhamre, Klas Karlgren, Eva Toth-Pal
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引用次数: 0

摘要

背景:一分钟训导模型是少数在临床训练中被证明有效的模型之一,并被证实用于临床推理和医学知识的教学。它已被介绍给来自各种保健专业的导师,被认为很容易学习。然而,它在斯堪的纳维亚初级卫生保健中并不为人所知,并且缺乏在这方面介绍该模式的研究。此外,使用该模型探讨导师观点的定性研究也很缺乏。因此,目的是使一分钟训导模型适应瑞典的环境,并探索导师在初级保健环境中应用它的经验。采用定量要素相结合的定性方法。方法:在斯德哥尔摩地区各初级保健中心的跨专业小组中设计并举办了一次讲习班。进行了后续访谈。采用定性内容分析法对资料进行分析。此外,还进行了前后调查。结果:教师认为该模型灵活,易于使用和适应,自评能力有所提高。此外,他们认为这可以帮助他们给出反馈并探索学生的推理。这与之前的研究一致,但我们的研究通过增加导师如何看待模型如何影响临床辅导的这些关键要素来做出贡献。结论:总之,教授一分钟导师模型的跨专业研讨会很容易举行,并且可能是可行的。临床辅导的积极结果是可能的;特别是在反馈和临床推理方面,需要改进。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adapting the one minute preceptor model to a Swedish context - clinical tutors' experiences of its usage in primary health care.

Background: The One Minute Preceptor model is one of few models proven to be effective in clinical training and validated for teaching clinical reasoning and medical knowledge. It has been introduced to tutors from various health care professions and is considered easy to learn. It is, however, not well-known in Scandinavian primary health care, and studies introducing the model in this context are lacking. Moreover, qualitative studies exploring the views of tutors using the model are also lacking. The aim was therefore to adapt the One Minute Preceptor model to a Swedish context and to explore tutors' experiences of applying it in a primary care setting. A qualitative method with quantitative elements was used.

Methods: A workshop was designed and held in interprofessional groups at various primary health care centres in Region Stockholm. Follow-up interviews were conducted. Data were analysed using qualitative content analysis. Furthermore, pre- and post-surveys were administered.

Results: The results showed that the tutors believed the model to be flexible, and easy to use and adapt, and their self-rated competence increased. Moreover, they believed it could help them give feedback and explore the students' reasoning. This is in line with previous research, but our study contributes by adding the tutor's how perspective on how the model affects these key elements of clinical tutoring.

Conclusions: In conclusion, interprofessional workshops teaching the One Minute Preceptor model are readily held and may be feasible to scale up. Positive outcomes on clinical tutoring are likely; especially on feedback and clinical reasoning, where improvements are needed.

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来源期刊
CiteScore
3.20
自引率
19.00%
发文量
47
审稿时长
>12 weeks
期刊介绍: Scandinavian Journal of Primary Health Care is an international online open access journal publishing articles with relevance to general practice and primary health care. Focusing on the continuous professional development in family medicine the journal addresses clinical, epidemiological and humanistic topics in relation to the daily clinical practice. Scandinavian Journal of Primary Health Care is owned by the members of the National Colleges of General Practice in the five Nordic countries through the Nordic Federation of General Practice (NFGP). The journal includes original research on topics related to general practice and family medicine, and publishes both quantitative and qualitative original research, editorials, discussion and analysis papers and reviews to facilitate continuing professional development in family medicine. The journal''s topics range broadly and include: • Clinical family medicine • Epidemiological research • Qualitative research • Health services research.
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