Health Occupations

健康职业
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    Validity as a social imperative foregrounds the social consequences of assessment and highlights the importance of building quality into the assessment development and monitoring processes. Validity as a social imperative is informed by current assessment trends such as programmatic-, longitudinal-, and rater-based assessment, and is one of the conceptualizations of validity currently at play in the Health Professions Education (HPE) literature. This Black Ice is intended to help readers to get a grip on how to embed principles of validity as a social imperative in the development and quality monitoring of an assessment. This piece draws on a program of work investigating validity as a social imperative, key HPE literature, and data generated through stakeholder interviews. We describe eight ways to implement validation practices that align with validity as a social imperative.
    La validité en tant qu\'impératif social met de l\'avant les conséquences de l\'évaluation des apprentissages sur la société et souligne l\'importance d\'intégrer la qualité dans le développement et le monitoring de l\'évaluation des apprentissages. La validité en tant qu\'impératif social est influencée par les tendances actuelles en matière d\'évaluation, telles que l\'évaluation programmatique, longitudinale et l\'évaluation par des évaluateurs. La validité en tant qu\'impératif social fait partie des conceptualisations actuellement présentes dans les écrits scientifiques dans le contexte de la pédagogie des sciences de la santé. Ce texte a pour but d\'aider les lecteurs à comprendre comment intégrer les principes de validité en tant qu\'impératif social dans le développement et le suivi de qualité d\'une évaluation. Cet article s\'appuie sur un programme de recherche qui examine la validité en tant qu\'impératif social, sur les écrits scientifiques en pédagogie des sciences de la santé et des données provenant d\'entrevues avec différentes parties prenantes. Nous décrivons huit façons de mettre en œuvre des pratiques de validation qui sont en accord avec la validité en tant qu\'impératif social.
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  • 文章类型: Journal Article
    背景:申请人对选择的看法会影响选择过程中的动机和表现,学生的多样性。然而,深入了解这些观念背后缺乏的价值观,为使选择程序与申请人的看法保持一致创造了挑战。这项定性访谈研究旨在确定申请人认为应该作为选择基础的价值观,以及如何,根据申请人的说法,这些价值观应用于对本科卫生专业教育(HPE)的选拔程序进行具体改进。
    方法:31名申请人参加了荷兰5个本科HPE课程的半结构化面试,一种专注于创造改进愿景的方法,指导采访。使用主题分析对转录进行分析,采取建构主义的方法。
    结果:与选择目标相关的申请人\'值,选择的内容,以及申请人的待遇。申请人认为,甄选程序应旨在找出最适合培训和专业的学生,并产生不同的学生群体来满足社会需求。根据申请人的说法,选择的内容应与课程和专业相关,评估一组全面的属性,高质量,允许申请人展示他们是谁,并适应申请人当前的发展状态。关于治疗,申请人认为,选择应该是一个双向的过程,促进对学习选择的反思,对申请人的期望保持透明,保护申请人的福祉,平等对待所有申请人,并考虑到个人情况,采用公平的方法。申请人提到了关于每个值的具体改进。
    结论:申请人的价值观为他们认为设计选择程序的重要先决条件提供了新颖的见解。他们建议的改进可以支持选拔委员会更好地满足申请人的需求。
    BACKGROUND: Applicant perceptions of selection impact motivation and performance during selection, and student diversity. However, in-depth insight into which values underly these perceptions is lacking, creating challenges for aligning selection procedures with applicant perceptions. This qualitative interview study aimed to identify values applicants believe should underlie selection, and how, according to applicants, these values should be used to make specific improvements to selection procedures in undergraduate health professions education (HPE).
    METHODS: Thirty-one applicants to five undergraduate HPE programs in the Netherlands participated in semi-structured interviews using Appreciative Inquiry, an approach that focuses on what goes well to create vision for improvement, to guide the interviews. Transcriptions were analyzed using thematic analysis, adopting a constructivist approach.
    RESULTS: Applicants\' values related to the aims of selection, the content of selection, and the treatment of applicants. Applicants believed that selection procedures should aim to identify students who best fit the training and profession, and generate diverse student populations to fulfill societal needs. According to applicants, the content of selection should be relevant for the curriculum and profession, assess a comprehensive set of attributes, be of high quality, allow applicants to show who they are, and be adapted to applicants\' current developmental state. Regarding treatment, applicants believed that selection should be a two-way process that fosters reflection on study choice, be transparent about what applicants can expect, safeguard applicants\' well-being, treat all applicants equally, and employ an equitable approach by taking personal circumstances into account. Applicants mentioned specific improvements regarding each value.
    CONCLUSIONS: Applicants\' values offer novel insights into what they consider important preconditions for the design of selection procedures. Their suggested improvements can support selection committees in better meeting applicants\' needs.
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  • 文章类型: Journal Article
    患者可以积极参与卫生专业教育(HPE)的各个方面。然而,HPE研究生课程的学习者有很少的机会来学习如何让患者参与HPE。
    我们设计了,已实施,并评估了一个12周的异步,在线研究生课程,为学习者提供这样的机会。我们成立了一个病人咨询委员会,临床医生-教育工作者,和教授指导课程开发。使用Thomas等人。\的框架,我们确立了课程的总体和目标需求,确定了学习成果,确定学习活动,并实施和评估课程。它是在异步中提供的,渥太华大学HPE在线文凭和硕士学位,加拿大。
    40名学习者在2020年至2022年之间参加了该课程。使用封闭式和开放式项目的调查,学习者报告对所有课程组件的满意度,他们重视为课程制作的病人叙事视频。课程完成后,学习者报告说,该课程与他们的专业实践有关。他们还报告了他们对患者积极参与HPE的能力的信心。根据最终的作业评估数据,学习者达到了课程期望。
    尽管参与叙事视频的患者代表了不同的年龄范围,健康状况,以及在HPE的经验,他们通常是高加索人,受过教育,来自更高的社会经济背景。此外,患者和学习者在课程中的参与程度有限.我们致力于改善我们自己的患者参与努力。
    UNASSIGNED: Patients can be actively involved in various aspects of health professions education (HPE). However, learners in HPE graduate programs have minimal opportunities to learn how to involve patients in HPE.
    UNASSIGNED: We designed, implemented, and evaluated a 12-week asynchronous, online graduate course that provides learners such opportunities. We established an advisory committee of patients, clinician-educators, and professors to guide course development. Using Thomas et al.\'s framework, we established the general and targeted need for the course, identified the learning outcomes, determined the learning activities, and implemented and evaluated the course. It is offered within the asynchronous, online Diploma and Master in HPE at the University of Ottawa, Canada.
    UNASSIGNED: Forty learners participated in the course between 2020 and 2022. Using a survey with closed- and open-ended items, learners reported satisfaction with all course components, and they valued the patient narrative videos created for the course. After course completion, learners reported that the course is relevant to their professional practice. They also reported confidence in their abilities to actively involve patients in HPE. Based on the culminating assignment assessment data, learners attained course expectations.
    UNASSIGNED: Although patients who participated in the narrative videos represented diverse age ranges, health conditions, and experiences in HPE, they were often Caucasian, educated, and from a higher socio-economic background. Also, the level of engagement between patients and learners in the course was limited. We are committed to improving our own patient involvement efforts.
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    当前的医学教育和临床实践导致需要先进的教师发展,医学教师要有效地发挥教育者的作用,研究人员和管理员。各国的教学计划差异很大,从一次性活动到定期安排的讲习班和研讨会,为期几个月到一年的高级课程。世界各地的几家医疗机构提供卫生专业教育方面的教师培训计划,课程的设计各不相同,因为它们是由自己的机构机构或教育单位开发和实施的。在教师培训计划(卫生专业教育研究生文凭)期间讨论了竞技场混合连接(ABC)学习设计,随后由于2019年的大流行而转向在线教育方法,咨询教师和学生开始设想按照ABC模式设计现有的卫生专业教育研究生文凭课程,以支持混合和基于结果的教育。为每个主题设定了标准,明确定义了要实施的学习水平和实施的频率。我们使用ABC模型描述了卫生专业教育教师发展课程的设计和开发。
    Current medical education and clinical practice has led to a need for advanced faculty development for medical teachers to effectively play the role of educators, researchers and administrators. There is large variability in the teaching programmes across countries, which range from a one-time activity to regularly scheduled workshops and seminars, to a highly advanced course spanning a few months to a year. Several healthcare institutes around the world offer faculty training programmes in health professions education, where the curriculum varies in design as they are developed and implemented by their own institutional body or education unit. Following a discussion of arena blended connected (ABC) learning design during a faculty training programme (Postgraduate Diploma in Health Professions Education) and the subsequent move towards an online approach to education due to the pandemic in 2019, the advisory faculty and students started to envision designing the already existing Postgraduate Diploma in Health Professions Education curriculum along the ABC model favouring blended and outcome-based education. Criteria were set for each topic with clearly defined learning levels to be implemented and the frequency of implementation. We describe the design and development of a curriculum for faculty development of health professions education using the ABC model.
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  • 文章类型: Journal Article
    德克萨斯大学埃尔帕索分校(UTEP)西班牙裔服务和卡内基R1机构,通过平等获取策略,为社会经济多样化的西班牙裔/拉丁裔(H/L)健康专业学生提供途径。机构评估中心,Research,和计划数据说明了UTEP在毕业H/L卫生专业人员方面的成功(即,联合健康,护理,药房,和心理学)2014年至2023年的学生。这些毕业生中有近90%在毕业一年后在德克萨斯州就业,85%在10年后仍然就业。(AmJ公共卫生。2024;114(S6):S472-S477。https://doi.org/10.2105/AJPH.2024.307655)[公式:见正文]。
    The University of Texas at El Paso (UTEP), a Hispanic Serving and Carnegie R1 institution, serves as a pathway for socioeconomically diverse Hispanic/Latino (H/L) health profession students via equal-access strategies. The Center for Institutional Evaluation, Research, and Planning data illustrates UTEP\'s success in graduating H/L health professionals (i.e., allied health, nursing, pharmacy, and psychology) students between 2014 and 2023. Nearly 90% of these graduates are employed in Texas one year after graduation, and 85% remain employed after 10 years. (Am J Public Health. 2024;114(S6):S472-S477. https://doi.org/10.2105/AJPH.2024.307655) [Formula: see text].
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  • 文章类型: Journal Article
    背景:近年来,移动健康工具在全球医疗保健中越来越重要。移动健康(mHealth)干预措施已经证明了它们对管理医疗服务用户健康的影响。一项试点搜索显示,许多关于移动健康工具对服务用户健康结果的有效性的系统评价。然而,需要澄清医疗保健专业人员在促进采用移动医疗方面的作用可能如何改善结果.因此,本系统评价旨在综合现有的系统评价,这些系统评价既考察了移动健康干预措施对服务使用者结局的影响,又考察了医疗保健专业人员在促进移动健康解决方案采用方面的作用.
    方法:将搜索五个电子数据库:EMBASE,CINHALPlus,MEDLINE,WebofScience,和Cochrane图书馆进行系统评价,探索移动健康干预对服务用户结果的影响以及医疗保健专业人员在促进采用移动健康解决方案中的作用。将包括2015年1月至2024年6月以英文发布的系统评价。根据纳入和排除标准筛选和选择审查将由三名独立审查人员进行,以及数据提取和质量评估。
    结论:目前关于mHealth的系统评价主要集中在评估mHealth干预措施对管理一系列疾病的有效性。虽然这些评论为mHealth的结果提供了宝贵的投入,在采用mHealth时,需要更多地了解卫生专业人员的参与对服务使用者结果的影响。本系统综述旨在通过批判性地评估和综合mHealth干预措施对服务用户结果和卫生专业人员参与水平的影响的证据,来弥合文献中的这一关键差距。
    背景:PROSPEROCRD42023414435。
    BACKGROUND: Mobile health tools have gained prominence in global health care in recent years. Mobile health (mHealth) interventions have demonstrated their impact on managing healthcare service users\' health. A pilot search revealed many systematic reviews on the effectiveness of mobile health tools on service users\' health outcomes. However, how the role of healthcare professionals in promoting the adoption of mobile health may lead to improved outcomes needs to be clarified. Therefore, this systematic review aims to synthesise existing systematic reviews that examine both the impact of mobile health interventions on service users\' outcomes and the role of healthcare professionals in facilitating the adoption of mobile health solutions.
    METHODS: Five electronic databases will be searched: EMBASE, CINHAL Plus, MEDLINE, Web of Science, and the Cochrane Library for systematic reviews exploring the impact of mobile health interventions on service users\' outcomes and the role of healthcare professionals in facilitating the adoption of mobile health solutions. Systematic reviews published in English dated from January 2015 to June 2024 will be included. Screening and selection of the reviews against inclusion and exclusion criteria will be performed by three independent reviewers, as well as data extraction and quality assessment.
    CONCLUSIONS: Current systematic reviews in mHealth have primarily focused on assessing the effectiveness of mHealth interventions for managing a range of conditions. While these reviews provide valuable input into the outcomes for mHealth, more is needed to know about the impact of the involvement of health professions on service users\' outcomes when adopting mHealth. This systematic review of systematic reviews aims to bridge this critical gap in the literature by critically appraising and synthesising the evidence of mHealth interventions\' impact on service user outcomes and the level of involvement of health professionals.
    BACKGROUND: PROSPERO CRD 42023414435.
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  • 文章类型: Journal Article
    测量开伯尔-普赫图赫瓦省医学和相关健康科学学生的COVID-19疫苗犹豫及其相关因素。
    这项横断面调查是在2021年3月使用Google调查平台在线进行的。研究人群由在开伯尔·普赫图赫瓦的医学/相关健康科学学术机构学习的医学和相关健康科学学生组成。该网络在线链接已提供给约800名学生,以通过电子邮件填写问卷,WhatsApp和/或社交媒体网络。反应率在50%左右。主要结果变量是疫苗犹豫。通过双变量和多变量回归分析探索与疫苗犹豫相关的因素。
    在398名医学和相关健康科学学生中,男性193例(48.5%),女性205例(51.5%),平均年龄22.6±2.8岁。发现疫苗犹豫率为52.8%。观察到疫苗犹豫与性别之间存在显着关系。其他因素包括缺乏足够的疫苗知识(p<0.001),中国来源的疫苗(p<0.001),缺乏疫苗接种可以减少感染机会的知识(p<0.001),对潜在副作用的恐惧(p<0.001)和自由强力疫苗接种背后的隐藏议程(p=0.045),被发现是导致医学和相关健康科学学生对COVID-19疫苗犹豫不决的主要障碍或原因。
    与COVID-19疫苗犹豫相关的重要障碍包括性别,缺乏信息,害怕副作用,对进口和中国疫苗缺乏信任,以及对COVID-19疫苗接种背后隐藏议程的看法。
    UNASSIGNED: To measure COVID-19 vaccine hesitancy and its associated factors among medical and allied health sciences students of Khyber Pakhtunkhwa.
    UNASSIGNED: This cross-sectional survey was conducted online using Google survey platform in March 2021. Study population comprised of medical and allied health sciences students studying in medical/allied health sciences academic institutes in Khyber Pakhtunkhwa. The web-based online link was provided to around 800 students to fill in the questionnaire via email, WhatsApp and/or social media network. Response rate was around 50%. The main outcome variable was vaccine hesitancy. Factors associated with vaccine hesitancy were explored by bivariate and multivariate regression analysis.
    UNASSIGNED: Out of 398 medical and allied health sciences students, there were 193 (48.5%) males and 205 (51.5%) females with mean age was 22.6± 2.8 years. The vaccine hesitancy rate was found to be 52.8%. A significant relationship between vaccine hesitancy and gender was observed. Other factors including lack of adequate knowledge about vaccines (p < 0.001), Chinese origin of vaccines (p < 0.001), lack of knowledge that vaccination can reduce the chances of acquiring infection (p < 0.001), fear of potential side effects (p < 0.001) and hidden agenda behind free forceful vaccination (p = 0.045), were found to be main barriers or reasons responsible for COVID-19 vaccine hesitancy among medical and allied health sciences students.
    UNASSIGNED: Important associated barriers with COVID-19 vaccine hesitancy included gender, lack of information, fear of side effects, lack of trust in imported and Chinese vaccines, and perception of hidden agenda behind COVID-19 vaccination.
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