姑息医学辅导:基于2000 - 2015年内科辅导专题分析的指导方案设计

M. Ikbal, Jingting Wu, M. T. Wahab, R. Kanesvaran, L. Krishna
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引用次数: 20

摘要

背景:姑息医学指导对培训、职业满意度和职业发展至关重要。然而,在姑息医学中,并没有有效的指导计划。这一差距归因于未能定义辅导实践,以及缺乏对辅导的特定背景、目标敏感、受试者、导师和组织依赖性的认识,阻碍了对辅导计划的有效审查。目的:利用姑息医学培训和内科学培训之间的相似性,本主题分析旨在确定内科学主流辅导项目中的共同主题,以指导姑息医学辅导项目的设计。设计:对PubMed、ERIC、Cochrane System reviews数据库、OVID和Science Direct数据库中的文献综述、系统综述和荟萃分析进行了主题综述,这些文献在2000年1月1日至2015年12月31日期间以英文发表,涉及内科学指导。结果:检索到466篇摘要,评价了17篇全文综述,收录了7篇综述。专题分析揭示了9个主题:辅导定义中的共同特征、辅导关系的特征、辅导方法、辅导过程的各个方面、导师和被学员的期望特征/行动、辅导的好处和缺点以及本科生和研究生辅导之间的差异。结论:共同的主题突出了培养个性化辅导关系的重要性,并解决了本科生和研究生环境中辅导的不同目标。可以通过主办组织提供支持性辅导环境,帮助选择、培训和支持学员和导师,以实现明确的目标。
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Mentoring in Palliative Medicine: Guiding Program Design through Thematic Analysis of Mentoring in Internal Medicine between 2000 and 2015
Background: Mentoring in Palliative Medicine is critical to training, career satisfaction and professional development. Yet, there are no accounts of effective mentoring programs in Palliative Medicine. This gap is attributed to a failure to define mentoring practice and a lack of acknowledgment of mentoring’s context-specific, goal-sensitive, mentee-, mentor- and organizational-dependent nature that has hindered effective review of mentoring programs. Objective: Drawing upon similarities between training in Palliative Medicine and Internal Medicine, this thematic analysis seeks to identify common themes in prevailing mentoring programs in Internal Medicine that can guide the design of mentoring programs in Palliative Medicine. Design: A thematic review of literature reviews, systematic reviews and meta-analyses featured in PubMed, ERIC, Cochrane Database of Systematic Reviews, OVID and Science Direct databases and published in English between 1st January 2000 and 31st December 2015 involving mentoring in Internal Medicine was carried out. Results: 466 abstracts were retrieved, 17 full-text reviews evaluated and 7 reviews included. Thematic analysis revealed 9 themes: common features within definitions of mentoring, characteristics of mentoring relationships, the mentoring approach, facets of the mentoring process, desired characteristics/actions of a mentor and mentee, benefits and drawbacks of mentoring and differences between undergraduate and postgraduate mentoring. Conclusions: Common themes highlight the importance of nurturing personalized mentoring relationships and addressing the different goals of mentoring in undergraduate and postgraduate settings. Supportive mentoring environments can be provided through host organizations that help in selecting, training and supporting mentees and mentors to meet clearly defined goals.
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