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Expectations and perceptions of primary healthcare professionals regarding their own continuous education in Catalonia (Spain): a qualitative study

机译：一项定性研究：主要保健专业人员对他们在加泰罗尼亚（西班牙）的继续教育的期望和看法

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The planning and execution of continuous education in an organization that provides health services is a complex process. The objectives, learning sequences, and implementation strategies should all be oriented to improving the health of the population. The aim of this study was to analyse the expectations and perceptions of continuous educations by primary healthcare professionals (physicians and nurses) and identify aspects that hinder or encourage the process. A qualitative study with 5 focus groups made up of 25 primary healthcare professionals from the Catalan Health Institute, Barcelona (Catalonia, Spain). The focus groups were audio-recorded and the results transcribed. The analysis involved: a) Reading of the data looking for meanings b) Coding of the data by themes and extracting categories c) Reviewing and refining codes and categories d) Reconstruction of the data providing an explanatory framework for the meanings e) Discussion about the interpretations of the findings and f) Discussed with relevant professionals from PHC (physicians and nurses)“Data regarding thematic content were analyzed with the support of Atlasti 5.1 software. The health needs of the population were often at the core of the learning processes but the participants’ views did not always spontaneously refer to improvements in these issues. Common themes that could hinder learning and where identified, including contextual aspects such as work constraints (timetables, places being covered during training) and funding policies. New learning strategies to improve the effectiveness of continuous education were proposed such as the exchange of knowledge, the activation of personal commitment to change, and the improvement of organizational aspects. The primary healthcare professionals in our study viewed continuous education as a professional necessity and would like to translate the knowledge acquired to improving the health of the population. Nevertheless, professional, structural, and organizational issues impede the process.
机译：提供卫生服务的组织中继续教育的计划和执行是一个复杂的过程。目标，学习顺序和实施策略都应以改善人口健康为导向。这项研究的目的是分析初级保健专业人员（医师和护士）对继续教育的期望和看法，并确定阻碍或鼓励这一过程的方面。由巴塞罗那加泰罗尼亚卫生研究所（西班牙加泰罗尼亚）的25名主要医疗专业人员组成的5个焦点小组的定性研究。对焦点小组进行录音并记录结果。分析涉及：a）读取数据以寻找含义b）按主题对数据进行编码并提取类别c）审查和完善代码和类别d）重构数据以提供含义的解释框架e）关于f）与PHC的相关专业人员（医师和护士）进行了讨论。“有关主题内容的数据在Atlasti 5.1软件的支持下进行了分析。人口的健康需求通常是学习过程的核心，但是参与者的观点并不总是自发地提到这些问题的改善。可能妨碍学习和在哪里发现的共同主题，包括上下文方面的内容，例如工作限制（时间表，培训期间涵盖的地点）和资助政策。提出了提高持续教育有效性的新学习策略，例如知识交流，激活个人对变革的承诺以及组织方面的改进。在我们的研究中，主要的医疗保健专业人员将继续教育视为一项职业必要，并希望将获得的知识转化为改善人群的健康状况。但是，专业，结构和组织问题阻碍了这一过程。

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