Jonathan Green, Jennifer Oates, Sam Robertson, Elizabeth Barley, Chris Jacobs
{"title":"评价服务使用者参与卫生专业入门级教育的研究设计和结果测量：一项系统回顾。","authors":"Jonathan Green, Jennifer Oates, Sam Robertson, Elizabeth Barley, Chris Jacobs","doi":"10.1111/hex.70439","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>It is a regulatory requirement in the United Kingdom and Australia that people who use services are involved in health professional education. Evaluating service user involvement aims to inform curriculum development and improvement. However, although there is research evaluating service user involvement in medical education, optimal outcome measures for other health professionals have not been identified.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study focused on service user involvement in entry-level education for nurses, midwives, allied health professionals, social workers and pharmacists. The aim was to (i) identify study characteristics, designs and methods used to measure outcomes, (ii) describe the characteristics of outcome measures used and (iii) identify the extent to which the outcome measures aligned with the modified Kirkpatrick Evaluation Framework.</p>\n </section>\n \n <section>\n \n <h3> Search Strategy</h3>\n \n <p>Medline, CINAHL and PsychINFO databases were systematically searched for studies published over a 24-year period between 2000 and 2024. Two reviewers independently screened studies. A narrative synthesis was conducted. Measures were mapped to the modified Kirkpatrick Evaluation Framework.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Nineteen studies using 29 measures were selected. Study designs were mostly quasi-experimental with small university-based samples. Data were typically collected pre- and post-service user involvement, assessing changes in student knowledge and attitudes. Measures assessed the perspective of students (<i>n</i> = 29) and educators (<i>n</i> = 1), but not the service users' perspective (<i>n</i> = 0). Eight of the measures were validated; four for student health professionals and four for other populations. No measures aligned with the highest levels of the modified Kirkpatrick Evaluation Framework regarding the impact of service user involvement on the health system and patients.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Limitations in the study designs reduced the comparability and generalisability of the identified studies. None of the measures evaluated the impact of service user involvement on the health system or patients. Educators' perspectives on the service users' involvement in the education were limited. Service users' perspectives were absent. To embed a culture of involvement, future research is needed to identify the requirements of outcome measures from the perspective of service users and educators.</p>\n </section>\n \n <section>\n \n <h3> Patient and Public Contribution</h3>\n \n <p>Co-author (S.R.), a lead for service user and carer involvement at an NHS Trust, guided the study design, data analysis and manuscript development.</p>\n </section>\n </div>","PeriodicalId":55070,"journal":{"name":"Health Expectations","volume":"28 5","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476030/pdf/","citationCount":"0","resultStr":"{\"title\":\"Evaluating the Study Designs and Outcome Measures Used in Service User Involvement in Health Professional Entry-Level Education: A Systematic Review\",\"authors\":\"Jonathan Green, Jennifer Oates, Sam Robertson, Elizabeth Barley, Chris Jacobs\",\"doi\":\"10.1111/hex.70439\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>It is a regulatory requirement in the United Kingdom and Australia that people who use services are involved in health professional education. Evaluating service user involvement aims to inform curriculum development and improvement. However, although there is research evaluating service user involvement in medical education, optimal outcome measures for other health professionals have not been identified.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>This study focused on service user involvement in entry-level education for nurses, midwives, allied health professionals, social workers and pharmacists. The aim was to (i) identify study characteristics, designs and methods used to measure outcomes, (ii) describe the characteristics of outcome measures used and (iii) identify the extent to which the outcome measures aligned with the modified Kirkpatrick Evaluation Framework.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Search Strategy</h3>\\n \\n <p>Medline, CINAHL and PsychINFO databases were systematically searched for studies published over a 24-year period between 2000 and 2024. Two reviewers independently screened studies. A narrative synthesis was conducted. Measures were mapped to the modified Kirkpatrick Evaluation Framework.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Nineteen studies using 29 measures were selected. Study designs were mostly quasi-experimental with small university-based samples. Data were typically collected pre- and post-service user involvement, assessing changes in student knowledge and attitudes. Measures assessed the perspective of students (<i>n</i> = 29) and educators (<i>n</i> = 1), but not the service users' perspective (<i>n</i> = 0). Eight of the measures were validated; four for student health professionals and four for other populations. No measures aligned with the highest levels of the modified Kirkpatrick Evaluation Framework regarding the impact of service user involvement on the health system and patients.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Limitations in the study designs reduced the comparability and generalisability of the identified studies. None of the measures evaluated the impact of service user involvement on the health system or patients. Educators' perspectives on the service users' involvement in the education were limited. Service users' perspectives were absent. To embed a culture of involvement, future research is needed to identify the requirements of outcome measures from the perspective of service users and educators.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Patient and Public Contribution</h3>\\n \\n <p>Co-author (S.R.), a lead for service user and carer involvement at an NHS Trust, guided the study design, data analysis and manuscript development.</p>\\n </section>\\n </div>\",\"PeriodicalId\":55070,\"journal\":{\"name\":\"Health Expectations\",\"volume\":\"28 5\",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-09-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476030/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Expectations\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/hex.70439\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Expectations","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/hex.70439","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Evaluating the Study Designs and Outcome Measures Used in Service User Involvement in Health Professional Entry-Level Education: A Systematic Review
Background
It is a regulatory requirement in the United Kingdom and Australia that people who use services are involved in health professional education. Evaluating service user involvement aims to inform curriculum development and improvement. However, although there is research evaluating service user involvement in medical education, optimal outcome measures for other health professionals have not been identified.
Objective
This study focused on service user involvement in entry-level education for nurses, midwives, allied health professionals, social workers and pharmacists. The aim was to (i) identify study characteristics, designs and methods used to measure outcomes, (ii) describe the characteristics of outcome measures used and (iii) identify the extent to which the outcome measures aligned with the modified Kirkpatrick Evaluation Framework.
Search Strategy
Medline, CINAHL and PsychINFO databases were systematically searched for studies published over a 24-year period between 2000 and 2024. Two reviewers independently screened studies. A narrative synthesis was conducted. Measures were mapped to the modified Kirkpatrick Evaluation Framework.
Results
Nineteen studies using 29 measures were selected. Study designs were mostly quasi-experimental with small university-based samples. Data were typically collected pre- and post-service user involvement, assessing changes in student knowledge and attitudes. Measures assessed the perspective of students (n = 29) and educators (n = 1), but not the service users' perspective (n = 0). Eight of the measures were validated; four for student health professionals and four for other populations. No measures aligned with the highest levels of the modified Kirkpatrick Evaluation Framework regarding the impact of service user involvement on the health system and patients.
Conclusion
Limitations in the study designs reduced the comparability and generalisability of the identified studies. None of the measures evaluated the impact of service user involvement on the health system or patients. Educators' perspectives on the service users' involvement in the education were limited. Service users' perspectives were absent. To embed a culture of involvement, future research is needed to identify the requirements of outcome measures from the perspective of service users and educators.
Patient and Public Contribution
Co-author (S.R.), a lead for service user and carer involvement at an NHS Trust, guided the study design, data analysis and manuscript development.
期刊介绍：
Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including:
• Person-centred care and quality improvement
• Patients'' participation in decisions about disease prevention and management
• Public perceptions of health services
• Citizen involvement in health care policy making and priority-setting
• Methods for monitoring and evaluating participation
• Empowerment and consumerism
• Patients'' role in safety and quality
• Patient and public role in health services research
• Co-production (researchers working with patients and the public) of research, health care and policy
Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
