台湾职业治疗研究生年培训中对程序性技能直接观察法使用的看法:学员与导师观点调查》。

IF 1.3 4区 医学 Q3 REHABILITATION Occupational Therapy International Pub Date : 2023-05-24 eCollection Date: 2023-01-01 DOI:10.1155/2023/8013086
Yi-Chia Liu, Yi-Chen Lee, Pai-Chuan Huang, I-Hui Lee, Keh-Chung Lin
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引用次数: 0

摘要

介绍:临床能力评估是年轻职业治疗师(OTs)培训的重要组成部分。通过客观、系统的评估,督导和学员都能了解培训目标,监控培训进度。程序性技能直接观察(DOPS)是一种基于工作的评估方法,用于评价临床培训中的专业知识、技能和态度。本研究调查了职业训练师和学员对使用直接观察技能的看法及其在职业训练师研究生年(PGY)培训中的差异:本研究采用定量在线调查的方式。来自 95 家医院的 86 名督导和 41 名定向治疗 PGY 培训项目的学员(回收率为 90.5%)返回了调查问卷,并对使用 DOPS 的 64 名督导和 30 名学员进行了分析。结果包括在临床环境中使用 DOPS 的实用性、DOPS 评分的难易程度以及 DOPS 的优缺点:大多数受访者表示,完成一次 DOPS 至少需要 11 分钟的直接观察(11-40 分钟:教师 92.2%;学员 80.6%)。大多数受访者(教师 96.9%,受训者 96.8%)在直接观察 DOPS 后有反馈,大约一半的反馈评估需要 5 到 10 分钟(教师 53.1%,受训者 48.4%)。大多数 OT 教育者和受训者都认为临床资源充足,DOPS 符合 OT 培训目标,有利于 OT 能力培训,评分系统公平、客观、一致。对 DOPS 评估感到压力和满意的 OT 受训人员比例明显高于培训教师。教师和受训人员在 DOPS 项目评分难易程度上的差异并不显著:大多数职业训练教育者和受训者都认为,DOPS 是职业训练 PGY 培训中实用且合适的评估方法。
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Perception of the Use of the Direct Observation of Procedural Skills in Occupational Therapy Postgraduate Year Training in Taiwan: Survey of the Perspectives of Trainees and Supervisors.

Introduction: Assessment of clinical competence is a significant part of the training for young occupational therapists (OTs). Objective and systematic assessment allows both supervisors and trainees to be aware of the training objectives and monitor the progress. The direct observation of procedural skills (DOPS) is a work-based assessment to evaluate professional knowledge, skills, and attitude in clinical training. This study investigated the perspectives of OT educators and trainees on using DOPS and their discrepancy for OT postgraduate year (PGY) training.

Methods: This study used a quantitative online survey. Eighty-six supervisors and 41 trainees of OT PGY training programs from 95 hospitals returned the questionnaire (a 90.5% return rate), and 64 supervisors and 30 trainees who used DOPS were analyzed. Outcomes included the practicality in using the DOPS in clinical settings, the ease of rating the DOPS, and advantages and the disadvantages of the DOPS.

Results: Most respondents reported that completing one DOPS required at least 11 minutes for direct observation (11-40 minutes: teacher 92.2%; trainee 80.6%). Most respondents (teacher 96.9%, trainee 96.8%) had feedback after direct observation of DOPS, and about half of the feedback assessments took 5 to 10 minutes (teacher 53.1%, trainee 48.4%). Most OT educators and trainees agreed that clinical resources were sufficient and that DOPS matched with OT training goals, benefited OT competence training, and had a fair, objective, and consistent scoring system. Significantly higher percentages of OT trainees felt stressed in and satisfied with the DOPS assessment than trainers. Differences between teachers and trainees regarding easiness of rating DOPS items were not significant.

Conclusion: Most OT educators and trainees agreed that DOPS was a practical and appropriate assessment for OT PGY training.

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来源期刊
CiteScore
2.50
自引率
6.70%
发文量
121
审稿时长
>12 weeks
期刊介绍: Occupational Therapy International is a peer-reviewed journal, publishing manuscripts that reflect the practice of occupational therapy throughout the world. Research studies or original concept papers are considered for publication. Priority for publication will be given to research studies that provide recommendations for evidence-based practice and demonstrate the effectiveness of a specific treatment method. Single subject case studies evaluating treatment effectiveness are also encouraged. Other topics that are appropriate for the journal include reliability and validity of clinical instruments, assistive technology, community rehabilitation, cultural comparisons, health promotion and wellness.
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