workforce development

劳动力发展
  • 文章类型: Journal Article
    临床研究需要一支称职的临床研究专业人员(CRP),他们训练有素,能够在自己的角色中执行各种复杂的任务。临床试验能力联合工作组(JTF)框架为开展高质量的临床研究建立了必要的领域,可以指导CRP的专业发展。研究专业人员网络(RPN)研讨会成立于2017年,重点是发展正在进行的机构间,同行主导,以JTF为中心的CRPs继续教育。四个机构及其附属机构是合作的一部分。
    研讨会参与者调查数据和其他指标收集了四个学年。进行了定量和定性分析,以评估参与者的经验并确定相关主题。
    参与者对研讨会表现出总体高度满意,并显着重视人际关系,通过讲习班,机构间合作成为可能。
    这些机构间RPN研讨会已发展成为实践社区,可以扩展到未来的机会。
    UNASSIGNED: Clinical research requires a competent workforce of clinical research professionals (CRPs) who are well-trained to perform varied and complex tasks within their roles. The Joint Task Force for Clinical Trial Competency (JTF) framework established essential domains for conducting high-quality clinical research that can guide professional development of CRPs. The Research Professionals Network (RPN) Workshops were established in 2017 to focus on developing ongoing inter-institutional, peer-led, JTF-centric continuing education for CRPs. Four institutions and their affiliates are part of the collaboration.
    UNASSIGNED: Workshop participant survey data and other metrics were collected over four academic years. Both quantitative and qualitative analyses were performed to assess participant experience and identify relevant themes.
    UNASSIGNED: Participants demonstrated overall high satisfaction with the workshops and significantly value the interpersonal, inter-institutional collaboration made possible through the workshops.
    UNASSIGNED: These inter-institutional RPN Workshops have evolved into a Community of Practice, which can be expanded into future opportunities.
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  • 文章类型: Journal Article
    背景:武装冲突和战争是公共卫生灾难。公共卫生行动在与冲突有关的紧急情况和康复中以及在预防战争和促进和平中都具有至关重要的作用。将其转化为公共卫生培训和能力刚刚开始出现,尤其是在欧洲。
    方法:我们进行了范围审查,以绘制和确定公共卫生教育和公共卫生人员培训在预防战争和促进和平方面的作用,正如科学文献所反映的那样。我们在PubMed搜索,CINAHL,PsycINFO,Embase,WebofScience核心收藏以及英文收录材料的参考列表,德语和波兰语最初关注欧洲地区,后来我们把搜索扩展到了欧洲以外.
    结果:我们纳入了7篇出版物,从意见到课程和培训的实证评估。教育方案主要是短期和课外研究生课程,面向受冲突影响国家和未受战争直接影响国家的公共卫生专业人员。出版物侧重于战争时期的公共卫生行动,没有说明战争或武装冲突的背景和类型。在紧急情况下,专注于应急响应和多学科合作的能力教学,经常借鉴自然灾害和疾病爆发管理的经验和例子。
    结论:关于战时和促进和平的公共卫生教育能力的科学论述,主要集中在紧急响应行动。预防战争和促进和平是缺失的重点,这需要在公共卫生培训中更加突出。公共卫生教育和培训应确保预防战争与促进和平,以及战争时期的公共卫生行动,包括在他们对公共卫生专业人员的能力中。
    BACKGROUND: Armed conflict and war are public health disasters. Public health action has a crucial role in conflict-related emergencies and rehabilitation but also in war prevention and peace promotion. Translating this into public health training and competencies has just started to emerge, especially in Europe.
    METHODS: We conducted a Scoping Review to map and identify the role of public health education and training of public health workforce relating to the prevention of war and promoting peace, as reflected in the scientific literature. We searched in PubMed, CINAHL, PsycINFO, Embase, Web of Science Core Collections as well as the reference list of included material in English, German and Polish. Focusing initially on the European region, we later expanded the search outside of Europe.
    RESULTS: We included 7 publications from opinion pieces to an empirical assessment of curricula and training. The educational programs were predominantly short-term and extra-curricular in postgraduate courses addressing both public health professionals in conflict-affected countries as well as countries not directly affected by war. Publications focused on public health action in times of war, without specifying the context and type of war or armed conflict. Competencies taught focused on emergency response and multi-disciplinary collaboration during emergencies, frequently drawing on experience and examples from natural disaster and disease outbreak management.
    CONCLUSIONS: The scientific discourse on competences in public health education for times of war and for the promotion of peace, predominately focuses on immediate emergency response actions. The prevention of war and the promotion of peace are missing foci, that need to feature more prominently in public health training. Public Health Education and training should ensure that war prevention and peace promotion, as well as public health action in times of war, are included in their competencies for public health professionals.
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  • 文章类型: Journal Article
    背景:以前的研究已经探索了一般医疗环境中由专职医疗专业人员进行研究的促进因素和障碍。由于精神卫生系统被公认为资金严重不足,并且比一般医疗服务功能更差,目前尚不清楚已公布的促进因素和障碍是否也适用于心理健康环境.本研究旨在探索与研究相关的知识,基于大型公共精神卫生服务的专职精神卫生临床医生的理解和实践。
    方法:一项混合方法研究招募了59名职业治疗师和社会工作者,他们在墨尔本一家专门的大都市公共心理健康服务机构工作,澳大利亚。定量调查结果在其他地方报告。对16名调查响应者志愿者进行了半结构化访谈。对定性调查和访谈数据进行了专题分析。
    结果:确定了四个主要主题:研究必须与临床实践联系;知识的碎片;实践中的研究;研究不是我专业身份的一部分。第三个主题,在实践中的研究,包括四个子主题:没有时间研究临床角色,缺少通信,缺乏所有权,以及我需要做什么研究。
    结论:这项研究发现,研究和研究相关活动不被认为是心理健康社会工作者和职业治疗师职业身份的一部分。处理此问题可能有助于实现这些临床医生的“专业高峰身体协会”实践准则和政府规定的实践标准。我们提供了几种策略来鼓励临床医生和服务人员将与研究相关的活动视为临床角色的日常部分。这一点尤其重要,如果我们认为联合医疗循证实践需要合理水平的研究相关技能和/或能力来评估,实践,评估和调整他们的循证实践。
    BACKGROUND: Previous studies have explored facilitators and barriers to research conducted by allied health professionals in general medical settings. Since the mental health system is acknowledged to be significantly under-funded and more poorly functioning than general medical services, it is unclear whether the published facilitators and barriers also apply to mental health settings. This study sought to explore the research-related knowledge, understanding and practices of allied mental health clinicians based in a large public mental health service.
    METHODS: A mixed methods study recruited 59 occupational therapists and social workers working in a dedicated metropolitan public mental health service in Melbourne, Australia. Quantitative survey results are reported elsewhere. Semi-structured interviews were conducted with 16 survey responder volunteers. Thematic analysis was conducted on the qualitative survey and interview data.
    RESULTS: Four main themes were identified: research must connect with clinical practice; fragments of knowledge; research in practice; and research is not part of my professional identity. The third theme, research in practice, comprised four subthemes: no time for research in clinical roles, missing communication, lack of ownership, and what I need to do research.
    CONCLUSIONS: This study found that research and research-related activities were not considered part of the mental health social workers and occupational therapists\' professional identities. Dealing with this issue may be instrumental to the realization of these clinicians\' professional peak-body associations\' code of practice and to government mandated practice standards. We provided several strategies to encourage both clinicians and services to view research-related activities as an everyday part of clinical roles. This is especially important if we think of allied health evidence-based practice requiring a reasonable level of research-related skills and/or competencies to appraise, practice, evaluate and adapt their evidence-based practice.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    在过去的十年中,关于痴呆症的文献激增,已经开始解决LGBTQ+人们在以后生活中的经历。认知功能的变化会危及安全,幸福,和LGBTQ+人的人权,如果社会护理劳动力没有做好准备或精通应对他们的独特需求。年龄的交集,认知功能,性和性别多样性以及亲密和性行为的表达需要敏感和尊重的考虑。然而,这是目前社会护理实践中研究不足和了解较少的领域。本文重点介绍了来自不同贡献文献机构的主要信息,并介绍了英国关于LGBTQ老龄化的国家框架及其支持劳动力发展的潜力,以考虑其在支持服务方面的灵活性,以在这些领域变得更加细微和肯定。实践。
    The proliferation of literature on dementia over the last decade has begun to address the experience of LGBTQ+ people\'s experiences in later life. Changes in cognitive function can jeopardize the safety, wellbeing, and human rights of LGBTQ+ people if the social care workforce are not prepared or versed in responding to their unique needs. The intersection of age, cognitive function, sexual and gender diversity with the expression of intimacy and sexuality requires sensitive and respectful consideration. Yet, this is currently an under-researched and less understood area in social care practice. This paper highlights the main messages from the different bodies of contributory literature and introduces the national framework in England UK on LGBTQ+ aging and its potential for supporting workforce development to consider its flexibility in supporting services to becoming more nuanced and affirmative in these areas of practice.
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  • 文章类型: Journal Article
    能够实施基因组医学的卫生劳动力需要有效的基因组学教育。在过去的二十年中,为卫生专业开发了基因组学教育干预措施,以及它们的影响,在文献中有不同的描述。为基因组学教育提供评估框架,我们对已发布的需求评估进行了探索性范围审查,和/或评估,2000年至2023年卫生专业人员的基因组学教育干预措施。我们在两次搜索中检索并筛选了4,659条记录,其中363条被选择用于跨学科工作组的全文审查和审议。选择了104篇文章纳入审查-60需求评估,52个基因组学教育评估,和八个描述两者。收录的文章涵盖了所有年份,并描述了30多个国家的教育干预措施。目标受众包括医学专家,护士/助产士,和/或专职卫生专业人员。评价问题,结果,并提取了措施,分类,分类并制成表格,以反复比较基因组学教育评估各阶段的措施:计划(实施前),开发和交付(实施),和影响(立即,中间,或长期结果)。它们与研究设计的描述一起出现在这里。我们记录了用于定义措施的评估方法和术语的广泛差异,并注意到很少有文章考虑了基因组学教育干预的下游(长期)结果。除了基因组学教育的评估框架之外,本范围审查的结果构成了一个工具包的一部分,该工具包旨在帮助教育工作者进行严格的基因组学评估,该评估符合目的,并且可以为基因组学教育在基因组医学实施策略中的贡献提供越来越多的证据基础.
    A health workforce capable of implementing genomic medicine requires effective genomics education. Genomics education interventions developed for health professions over the last two decades, and their impact, are variably described in the literature. To inform an evaluation framework for genomics education, we undertook an exploratory scoping review of published needs assessments for, and/or evaluations of, genomics education interventions for health professionals from 2000 to 2023. We retrieved and screened 4,659 records across the two searches with 363 being selected for full-text review and consideration by an interdisciplinary working group. 104 articles were selected for inclusion in the review-60 needs assessments, 52 genomics education evaluations, and eight describing both. Included articles spanned all years and described education interventions in over 30 countries. Target audiences included medical specialists, nurses/midwives, and/or allied health professionals. Evaluation questions, outcomes, and measures were extracted, categorized, and tabulated to iteratively compare measures across stages of genomics education evaluation: planning (pre-implementation), development and delivery (implementation), and impact (immediate, intermediate, or long-term outcomes). They are presented here along with descriptions of study designs. We document the wide variability in evaluation approaches and terminology used to define measures and note that few articles considered downstream (long-term) outcomes of genomics education interventions. Alongside the evaluation framework for genomics education, results from this scoping review form part of a toolkit to help educators to undertake rigorous genomics evaluation that is fit for purpose and can contribute to the growing evidence base of the contribution of genomics education in implementation strategies for genomic medicine.
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  • 文章类型: Journal Article
    将基因组医学实施到医疗保健中需要通过有效的教育方法接受教育的劳动力。然而,由于缺乏评估和文献中不一致的描述,确定基因组学教育活动或资源的影响受到限制。我们的目标是支持那些开发基因组学教育,以考虑如何最好地捕获评估数据,证明程序的结果和有效性的范围内。这里,我们提出了一个评估框架,该框架可适应多种设置,供具有或不具有教育或评估背景的基因组学教育者使用。该框架是作为支持由澳大利亚基因组学联盟协调的基因组研究翻译的更广泛计划的一部分而开发的。我们详细介绍了我们的混合方法方法,包括一个专家研讨会,文献综述和迭代专家输入,以达成共识,并综合基因组学教育的新评估框架。由此产生的理论和基于证据的框架涵盖了教育计划开发的所有阶段的评估,执行和报告,并承认利益相关者的关键作用和外部影响的影响。
    Implementation of genomic medicine into healthcare requires a workforce educated through effective educational approaches. However, ascertaining the impact of genomics education activities or resources is limited by a lack of evaluation and inconsistent descriptions in the literature. We aim to support those developing genomics education to consider how best to capture evaluation data that demonstrate program outcomes and effectiveness within scope. Here, we present an evaluation framework that is adaptable to multiple settings for use by genomics educators with or without education or evaluation backgrounds. The framework was developed as part of a broader program supporting genomic research translation coordinated by the Australian Genomics consortium. We detail our mixed-methods approach involving an expert workshop, literature review and iterative expert input to reach consensus and synthesis of a new evaluation framework for genomics education. The resulting theory-informed and evidence-based framework encompasses evaluation across all stages of education program development, implementation and reporting, and acknowledges the critical role of stakeholders and the effects of external influences.
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  • 文章类型: Journal Article
    对医生虚拟领导力培训的长期功效知之甚少。这项研究比较了两组高度相似的妇产科医生(OB-GYN)在经历了以虚拟或面对面形式的以公平为中心的领导培训后,计划后6个月的能力和技能变化。
    使用回顾性的前后测试方法,我们收集了关于14项能力的6个月项目后数据,以获取知识和技能,在55名参与者中,比较虚拟队列(2021年,n=22)与现场队列(2022年,n=33).自计划参与以来,有关技能相关性和专业影响的开放式反馈问题的定性数据。
    数据表明,两个队列中具有统计学意义的知识和技能保留,63%的虚拟参与者和85%的面对面参与者做出了回应。数据表明,参与者报告的课程对他们的医疗保健提供有积极的影响,几乎所有的报告他们在计划后的6个月内改变了他们的沟通和领导方法。59%的虚拟和55%的当面队列报告了新的领导机会,因为他们的参与和课程帮助他们准备这些角色。定性数据支持培训的需要,这些医生认为培训的具体内容特别有用,学习是“粘性的”,因为它在项目后的几个月里一直和他们在一起。明确表示偏爱亲自体验。
    无论是虚拟的还是面对面的领导培训,都可以使医生长期(6个月)大量地保留和应用知识和技能。虽然尺寸有限,这项研究表明,当面体验似乎促进了更有效的联系,也促进了参与项目后随访的更大意愿.医生发现以公平为中心的领导力培训会影响他们随后的沟通和领导实践,即使在6个月的随访中,他们也会报告职业福利。
    虽然医生在医疗保健中担任许多领导角色,领导力培训通常不是他们医疗培训的一部分。美国妇产科医师学会(ACOG)RobertC.Cefalo领导力研究所自2006年以来每年为妇产科医师提供领导力培训。我们之前的研究一再表明该方案是有效的,参与者在领导力学习和技能发展方面取得了显著而令人印象深刻的收获。COVID-19大流行导致2021年计划几乎得以举行,而2022年计划可能会恢复到面对面的形式。因此,有机会比较这两种格式的6个月课程后学习和影响,虚拟与面对面训练,在两个高度相似的群体中,他们经历了几乎相同的节目内容。虚拟和面对面参与者都将他们六个月的项目后技能水平/能力和技能使用/实施评估为明显高于项目前,两组都指出学习帮助他们成为更好的医生。传播者,和领导者。此外,许多经历了新的领导机会,在6个月后的程序和大多数人同意,该计划准备他们采取这些新的角色。这项研究表明,我们对医师领导力发展的方法非常有效,并且这种学习表现出“粘性”,因为它会随着时间的推移而持续。虽然虚拟和面对面程序都非常有效,绝大多数参与者更喜欢面对面培训而不是虚拟培训。
    UNASSIGNED: Little is known about the long-term efficacy of virtual leadership training for physicians. This study compares two highly similar groups of Obstetricians-Gynecologists\' (OB-GYN) 6-month post-program changes in competency and skills after experiencing equity-centered leadership training in a virtual or in-person format.
    UNASSIGNED: Using a retrospective pre- and post-test method, we collected 6-month post-program data on 14 competencies for knowledge gains and skills use, comparing the virtual cohort (2021, n = 22) to the in-person cohort (2022, n = 33) in 55 total participants. Qualitative data from open-ended feedback questions informed on skills relevancy and professional impact since program participation.
    UNASSIGNED: Data indicate strong, statistically significant knowledge and skills retention in both cohorts, with 63% of the virtual and 85% of the in-person participants responding. Data indicate participants report the course having a positive impact on their healthcare provision and nearly all report they made changes to their communication and leadership approaches in the 6-months after the program. 59% of the virtual and 55% of the in-person cohorts report new leadership opportunities since their participation and that the course helped prepare them for those roles. Qualitative data support the need for the training, specific elements of the training these physicians found particularly helpful, and that the learning was \"sticky\", in that it stayed with them in the months post-program. There was a clear stated preference for in-person experiences.
    UNASSIGNED: Either virtual or in-person leadership training can result in long-term (6-month) significant retention and application of knowledge and skills in physicians. While limited in size, this study suggests that in-person experiences seem to foster more effective bonds and also greater willingness to participate in post-program follow-up. Physicians find equity-centered leadership training to impact their subsequent communication and leadership practices and they report career benefits even in 6-month follow-up.
    While physicians serve in many leadership roles in healthcare, leadership training is generally not part of their medical training. The American College of Obstetricians and Gynecologists (ACOG) Robert C. Cefalo Leadership Institute has provided an annual leadership training for obstetrician and gynecologist leaders since 2006. Our previous research has repeatedly shown the program is effective, with participants experiencing significant and impressive gains in leadership learning and skills development. The COVID-19 pandemic led to the 2021 program being held virtually with a return to an in-person format possible with the 2022 program. As such, the opportunity arose to compare the 6-month post-program learning and impact of these two formats, virtual versus in-person training, in two highly similar groups experiencing nearly identical program content. Both virtual and in-person participants rated their six-month post-program skill level/ability and skills use/implementation as significantly higher than pre-program and both groups noted the learning helped them be better physicians, communicators, and leaders. Additionally, many experienced new leadership opportunities in the 6-months post-program and most of those agreed that the program prepared them to take on those new roles. This study shows that our approach to physician leadership development is highly effective and that the learning demonstrated “stickiness” in that it persisted over time. While both virtual and in-person programs were highly effective, overwhelmingly the participants prefer in-person training to virtual training.
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  • 文章类型: Journal Article
    大量的健康数据已经和正在被收集。在各级医疗保健中,数据正在推动决策并影响患者护理。医疗保健人员的知识和角色的新领域正在出现-需要卫生数据知情的劳动力。在这个观点中,我们描述了建立健康数据知情劳动力所需的方法,医疗保健生态系统的一项新的关键技能。
    UNASSIGNED: A momentous amount of health data has been and is being collected. Across all levels of health care, data are driving decision-making and impacting patient care. A new field of knowledge and role for those in health care is emerging-the need for a health data-informed workforce. In this viewpoint, we describe the approaches needed to build a health data-informed workforce, a new and critical skill for the health care ecosystem.
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  • 文章类型: Journal Article
    这项研究调查了母婴健康(MCH)劳动力的职业倦怠和主观幸福感,考虑到最近发生的事件,比如多布斯的决定,孕产妇死亡危机,和COVID-19大流行。
    基于Web的匿名,对美国313名妇幼保健专业人员进行了横断面调查.使用经过验证的措施收集数据,包括Maslach倦怠量表-人类服务调查(MBI-HSS)和牛津幸福问卷(OHQ)短期量表。使用单变量统计和多变量模型检查了与倦怠和主观幸福感相关的社会人口统计学特征和因素。
    分析显示,妇幼保健专业人员的倦怠程度适中,尤其是在情绪疲惫中。然而,主观幸福感水平相对较高。在控制协变量后,发现主观幸福感和倦怠维度之间存在显著关联,以及性别和种族等社会人口因素。
    研究结果表明,较高的主观幸福感与较低的倦怠显着相关,情绪疲惫,更高的个人素养。倦怠和幸福感的变化也受到社会人口统计学因素的影响,如年龄,性别,种族,和职业。针对妇幼保健专业人员的特定需求的量身定制的干预措施对于建立有弹性的劳动力至关重要。组织改革和立法措施对于促进支持性工作场所环境和确保在劳动力挑战中获得护理和服务至关重要。
    UNASSIGNED: This study investigates burnout and subjective well-being among the Maternal and Child Health (MCH) workforce, considering recent events such as the Dobbs decision, the maternal mortality crisis, and the COVID-19 pandemic.
    UNASSIGNED: An anonymous web-based, cross-sectional survey was conducted among 313 MCH professionals in the United States. Data were collected using validated measures, including the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and the Oxford Happiness Questionnaire (OHQ) short scale. Sociodemographic characteristics and factors associated with burnout and subjective well-being were examined using univariate statistics and multivariable models.
    UNASSIGNED: Analysis revealed moderate levels of burnout among MCH professionals, particularly in emotional exhaustion. However, subjective well-being levels were relatively high. After controlling for covariates, significant associations were found between subjective well-being and burnout dimensions, as well as sociodemographic factors such as sex and race.
    UNASSIGNED: The study\'s findings indicate that higher subjective well-being is significantly associated with lower burnout, emotional exhaustion, and higher personal accomplishment. Variations in burnout and well-being are also influenced by sociodemographic factors such as age, sex, race, and occupation. Tailored interventions addressing the specific needs of MCH professionals are essential for building a resilient workforce. Organizational reforms and legislative measures are crucial for fostering supportive workplace environments and ensuring access to care and services amidst workforce challenges.
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