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Building a patient-centered and interprofessional training program with patients, students and care professionals: study protocol of a participatory design and evaluation study

机译:与患者,学生和护理专业人员一起建立以患者为中心的专业培训计划:参与式设计和评估研究的研究方案

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A common approach to enhance patient-centered care is training care professionals. Additional training of patients has been shown to significantly improve patient-centeredness of care. In this participatory design and evaluation study, patient education and medical education will be combined by co-creating a patient-centered and interprofessional training program, wherein patients, students and care professionals learn together to improve patient-centeredness of care. In the design phase, scientific literature regarding interventions and effects of student-run patient education will be synthesized in a scoping review. In addition, focus group studies will be performed on the preferences of patients, students, care professionals and education professionals regarding the structure and content of the training program. Subsequently, an intervention plan of the training program will be constructed by combining these building blocks. In the evaluation phase, patients with a chronic disease, that is rheumatoid arthritis, diabetes and hypertension, and patients with an oncologic condition, that is colonic cancer and breast cancer, will learn together with medical students, nursing students and care professionals in training program cycles of three months. Process and effect evaluation will be performed using the plan-do-study-act (PDSA) method to evaluate and optimize the training program in care practice and medical education. A modified control design will be used in PDSA-cycles to ensure that students who act as control will also benefit from participating in the program. Our participatory design and evaluation study provides an innovative approach in designing and evaluating an intervention by involving participants in all stages of the design and evaluation process. The approach is expected to enhance the effectiveness of the training program by assessing and meeting participants’ needs and preferences. Moreover, by using fast PDSA cycles and a modified control design in evaluating the training program, the training program is expected to be efficiently and rapidly implemented into and adjusted to care practice and medical education.
机译:加强以患者为中心的护理的常见方法是培训护理专业人员。已经显示,对患者进行额外的培训可以显着改善以患者为中心的护理。在此参与性设计和评估研究中,将通过共同创建以患者为中心和跨专业的培训计划来结合患者教育和医学教育,患者,学生和护理专业人员可以共同学习以改善以患者为中心的护理。在设计阶段,将在范围审查中综合有关学生干预患者教育的干预措施和效果的科学文献。此外,将就培训计划的结构和内容,根据患者,学生,护理专业人员和教育专业人员的偏好进行焦点小组研究。随后,将这些组成部分结合起来,将制定培训计划的干预计划。在评估阶段,患有慢性疾病(即类风湿性关节炎,糖尿病和高血压)的患者以及患有肿瘤性疾病(例如结肠癌和乳腺癌)的患者将与医学生,护理生和护理专业人员一起学习培训课程三个月的周期。将使用计划学习法(PDSA)进行过程和效果评估,以评估和优化护理实践和医学教育中的培训计划。修改后的控件设计将用于PDSA循环中,以确保充当控件的学生也将从参与该计划中受益。我们的参与式设计和评估研究通过让参与者参与设计和评估过程的所有阶段,提供了一种创新的方法来设计和评估干预措施。通过评估和满足参与者的需求和偏好,该方法有望提高培训计划的有效性。此外,通过在评估培训计划时使用快速的PDSA周期和经过修改的控制设计,可以预期将培训计划有效,快速地实施并适应护理实践和医学教育。

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