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Primary care physicians in reflectiv...

Leyden, Annemarie Therese.

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Primary care physicians in reflective practice: Learning to treat depression.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Primary care physicians in reflective practice: Learning to treat depression./
作者:	Leyden, Annemarie Therese.
面頁冊數:	221 p.
附註:	Source: Dissertation Abstracts International, Volume: 64-12, Section: A, page: 4315.
Contained By:	Dissertation Abstracts International64-12A.
標題:	Education, Adult and Continuing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3117844

Primary care physicians in reflective practice: Learning to treat depression.
Leyden, Annemarie Therese.

Primary care physicians in reflective practice: Learning to treat depression. - 221 p.

Source: Dissertation Abstracts International, Volume: 64-12, Section: A, page: 4315.

Thesis (Ed.D.)--Columbia University Teachers College, 2004.

The purpose of this study was to acquire greater insight into how Primary Care Physicians (PCPs) learned to treat depression. The following three research questions guided the study: What processes did PCPs use to learn to diagnose and treat depression? How did PCPs learn from experience to treat depression? What factors facilitated or impeded their learning?Subjects--Topical Terms:

626632
Education, Adult and Continuing.

Primary care physicians in reflective practice: Learning to treat depression.
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500 $a Source: Dissertation Abstracts International, Volume: 64-12, Section: A, page: 4315.
500 $a Sponsor: Jeanne Bitterman.
502 $a Thesis (Ed.D.)--Columbia University Teachers College, 2004.
520 $a The purpose of this study was to acquire greater insight into how Primary Care Physicians (PCPs) learned to treat depression. The following three research questions guided the study: What processes did PCPs use to learn to diagnose and treat depression? How did PCPs learn from experience to treat depression? What factors facilitated or impeded their learning?
520 $a The study was an interpretive case study consisting of oral critical incident and in-depth interviews with 15 PCPs who practice at a tertiary federal medical center.
520 $a Data collection methods included document analysis, participant data inventory, oral critical incidents and in-depth interviews. A data analysis process was developed to examine the PCPs' perceptions of how and what they learned in order to treat and as a result of treating patients with depression. The PCPs were asked to describe how they gained knowledge and skills necessary for treating patients with depression and to reflect on what and how they learned. The result of the data analysis was a thematic description of factors that influenced their learning.
520 $a The study's findings were analyzed according to a three-stage model of reflective learning: preparation, experience and re-evaluation derived from the selected literature. The findings confirmed the use of the three-stage process with a preference for a blended combination of formal and informal learning. The process was non-linear and could commence at any of the stages of the learning model. It was also determined that PCPs did not attribute the clinical guidelines for depression as helpful to their learning. Communication skills were a key element of learning and participants valued formal learning programs in basic communication techniques and more specialized techniques related to depression. PCPs reported anchoring formal learning in the clinical setting through experiencing successful outcomes with patients. The PCPs reported learning in action with patients and their families as they assessed what the patient would accept and try. Time was seen as a major organizational constraint. The PCPs acknowledged stigma as a barrier and they reported learning in action with patients to overcome this issue.
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