标题：Development of a checklist to validate the framework of a narrative medicine program based on Gagne’s instructional design model in Iran through consensus of a multidisciplinary expert panel
期刊名称：Journal of Educational Evaluation for Health Professions
电子版ISSN：1975-5937
出版年度：2019
卷号：16
期号：1
页码：1-8
DOI：10.3352/jeehp.2019.16.34
语种：English
出版社：Korea Health Insurance Licensing Examination Institute
摘要：Purpose:Narrative medicine is a patient-centered approach focusing on the development of narrative skills and self-awareness that in_x0002_corporates "attending,representing,and affiliating” in clinical encounters.Acquiring narrative competency promotes clinical perfor?mance,and narratives can be used for teaching professionalism,empathy,multicultural education,and professional development.This study was conducted to develop a checklist to validate the framework of a narrative medicine program through consensus of a panel.Methods:This expert panel study was conducted from 2018 to 2019 at Isfahan University of Medical Sciences,Iran.It included 2 phases:developing a framework in 2 steps and forming an expert panel to validate the framework in 3 rounds.We adapted a 3-stage nar?rative medicine model with 9 training activities from Gagne’s theory,developed a framework,and then produced a checklist to validate the framework in a multidisciplinary expert panel that consisted of 7 experts.The RAND/UCLA appropriateness method was used to assess the experts’ agreement.The first-round opinions were received by email.Consensus was achieved in the second and third rounds through face-to-face meetings to facilitate interactions and discussion among the experts.Results:Sixteen valid indicators were approved and 100% agreement was obtained among experts (with median values in the range of 7–9 out of a maximum of 9,with no disagreement),and the framework was validated by the expert panel.Conclusion:The 16 checklist indicators can be used to evaluate narrative medicine programs as a simple and practical guide to im?prove teaching effectiveness and promote life-long learning.
关键词：Purpose:Narrative medicine is a patient-centered approach focusing on the development of narrative skills and self-awareness that in_x0002_corporates "attending,representing,and affiliating” in clinical encounters.Acquiring narrative competency promotes clinical perfor?mance,and narratives can be used for teaching professionalism,empathy,multicultural education,and professional development.This study was conducted to develop a checklist to validate the framework of a narrative medicine program through consensus of a panel.Methods:This expert panel study was conducted from 2018 to 2019 at Isfahan University of Medical Sciences,Iran.It included 2 phases:developing a framework in 2 steps and forming an expert panel to validate the framework in 3 rounds.We adapted a 3-stage nar?rative medicine model with 9 training activities from Gagne’s theory,developed a framework,and then produced a checklist to validate the framework in a multidisciplinary expert panel that consisted of 7 experts.The RAND/UCLA appropriateness method was used to assess the experts’ agreement.The first-round opinions were received by email.Consensus was achieved in the second and third rounds through face-to-face meetings to facilitate interactions and discussion among the experts.Results:Sixteen valid indicators were approved and 100% agreement was obtained among experts (with median values in the range of 7–9 out of a maximum of 9,with no disagreement),and the framework was validated by the expert panel.Conclusion:The 16 checklist indicators can be used to evaluate narrative medicine programs as a simple and practical guide to im?prove teaching effectiveness and promote life-long learning.
