Presentation on theme: "Introducing Research in Level II Programs of CPE"— Presentation transcript:
1 Introducing Research in Level II Programs of CPE Lex TartagliaGeorge FitchettDiane Dodd-McCuePatricia MurphyPaul Derrickson
2 Workshop ObjectivesAt the completion of this workshop participants will:be aware of the current state of teaching about research in ACPE residency programs;be familiar with examples of syllabi that will help CPE residents develop research literacy and explore research involvement;be familiar with specific methodologies to incorporate research literacy basics in a CPE residency curriculum.
3 Making the Case Standard 12: Research The chaplain practices evidence- based care including ongoingevaluation of new practices andwhen appropriate, contributes to orconducts research.(http://www.professionalchaplains.org)3
4 Making the CaseA research-literate chaplain has the ability to read, understand, and summarize a research study and to explain its relevance for his/her spiritual care.Mowat H (2008). The potential for efficacy of healthcare chaplaincy and spiritual care provision in the NHS (UK): A scoping review of recent research.4
5 Making the Case Basic research literacy includes: Attitudes about role of research in chaplaincyRecognize importance of research for chaplainsMotivate to engage in research-related activities, including journal clubs, workshops, grand roundsBehavior about researchReduce fear and avoidance of research-related activitiesEncourage curiosity and development of research questionsIntegrate research findings into professional practiceKnowledgeIdentify research databases and search existing literatureUnderstand basic concepts needed to read and critically evaluate simple qualitative and quantitative research articles
6 Research Question Study #1 To what extent are ACPE accredited residency programs educating students for research literacy and competence in support of Standard 12?
7 Results by the Numbers Yes Some No CPE Centers 3 (14%) 5 (24%) 13 (62%)CPE Systems 0 (0%) 2 (40%) 3 (60%)All Programs 3 (12%) 7 (27%) (62%)All results were independently coded by 3 members of research team (88% initial agreement)Differences were resolved among discussion of entire team
8 Issues IdentifiedOne myth expressed by multiple persons was that RESEARCH EDUCATION only means students conduct a large project or randomized study.A number of centers made opportunities for learning research basics available, but application was either inconsistent or optional.Some supervisors expressed that research education was beyond the program goals of a “first year residency”.A few supervisors thought that more research was needed to demonstrate efficacy of CPE for training of healthcare chaplains.
9 Study #2 Model Practices IRB approval at each institutionNon experimental descriptive design using semi-structured interviews and a purposeful sampleSelected from centers identified in study 1, identified by ACPE Research Committee Chair, identified through publicationsInclusion criteria: meet learning objective of research literacy; substantive teaching (time, content, activities); required of all residents; one full year completedContacted 21 centers, interviewed 15, and 11 met inclusion criteria
10 Similarities Aim: research literacy Current practice developed over time (often longer than expected)Presence of a research championAssociated with academic medical center or system with organizational culture of research/evidence based practiceInstitutional resources (people)Methods employed: content based didactics; journal articles; application to verbatim material; journal clubs; literature reviews; applied research (question, data collection, etc.)
12 Challenges Availability of personnel resources to support program Time managementCompeting prioritiesSupervisor involvement
13 Five ways to Incorporate Research Didactic SeriesJournal ClubsResearch Article CritiquesDeveloping Literature ReviewsClinical Pathways
14 Didactic Content Examples Research Types (Qualitative vs. Quantitative/Descriptive vs. Interventional)NomenclatureDeveloping a Research QuestionLibrary Database Searches and Literature ReviewsUse of Tools, Measures, SurveysResearch Ethics, IRBs (Training Modules)Dissemination and Writing for Research
15 Didactic Content Scorecard AdvantagesDisadvantagesEasy to organizeEasy to incorporateLimited investmentTime controlledResource dependentPassive
16 Journal Clubs Focus on selected research or research-related article Emphasis on relevance to chaplaincyEmphasis on process of conducting study
17 Journal Club Scoreboard DisadvantagesAdvantagesEasy to organizeLimited resource demandsArticle selection tailored to interests of audienceGroup interactionResponsibility need not fall on one individualLeadership may varyAssumes everyone prepared to participateLevel of participation may not reflect informed participation
18 Research Article Critiques Focus on selected research articleEmphasis on research methodologyReliance on established or agreed upon critique format
19 Critique Scoreboard Advantages Disadvantages Systematic review using established, relevant criteriaCriteria compliment those used in refereed article and grant proposal reviewsGroup interactionRequires baseline familiarity with research terminologyAssumes individual providing critique is informed, knowledgeableGreater time commitment than journal club
20 Developing Literature Reviews Focus on topic of interest and relevanceBuilds on effective reference research skillsComplements critical thinking skillsAllows creativity in developing themes across research thread
21 Literature Review Scorecard AdvantagesDisadvantagesReinforces effective research skillsProvides opportunity to gain in depth understanding of status of specific topicProvides experience helpful in writing articles and grant proposalAssumes access to reference resourcesUsually solo projectDemands synthesis and thematic identificationImplies strong writing skillsMore time consumingthan journal club or critique
22 Spiritual Pathway Project Focuses on evidence based practiceSimulates participation in quality improvement initiativesTeaches basic research skills such as data collectionProvides opportunity for public presentation and dissemination of new informationEnhances inter-professional dialogue
23 Spiritual Pathway Scorecard AdvantagesStudent choice focusedPromotes evidence based thinkingEncourages accountability to peers and colleaguesRequires development of time management skillsImproves writing for publication skillsDisadvantagesTime intensiveSupervisor DependentIncreases academic demands- amount and speed of curriculumSophistication level may need IRB approval
24 Quick Comparisons: (High-low level of commitment)
25 The Potential for……. (High-low level of result)
26 Resources ACPE Research Network Page APC Webinars Journal of Healthcare ChaplaincyTeaching Research in CPE: A Survey of Model Practices, JPCC, Spring 2013.A Primer for Pastoral Care, VandeCreek, JPC Publications, 1988.
27 Thank you for your interest Questions?Comments?Please contact us