Purpose: This paper compares two iterations (in-person and online) of a multi-stage continuing education program for improving high-risk decision-making among mental health workers. Methods: The mixed-methods study analyzed the following: (1) physiological and psychological arousal during simulated patient interviews; (2) physiological and psychological arousal recorded during real-time decision-making over four months; and (3) thoughts on the process and outcomes of the intervention raised in reflective interviews. Findings: Quantitatively, there were no statistical differences in stress measures between in-person and online simulated interviews or decision-making logs, suggesting they were effective in eliciting reactions commonly found in challenging clinical situations. Qualitatively, participants in both iterations indicated that the intervention caused them to reflect on practice, consider a wider range of factors related to the decisions, and enact approaches to improve decision-making. Conclusions: A carefully constructed online continuing education experience can result in outcomes for experienced social workers that are equivalent to an in-person iteration.

中文翻译：

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比较面对面和在线继续教育干预以改善专业决策：一项混合方法研究。


目的：本文比较了旨在改善精神卫生工作者高风险决策的多阶段继续教育计划的两次迭代（面对面和在线）。方法：混合方法研究分析以下内容：（1）模拟患者访谈过程中的生理和心理唤醒； （2）四个月内实时决策过程中记​​录的生理和心理唤醒情况； (3) 在反思性访谈中提出的对干预过程和结果的思考。研究结果：从数量上讲，面对面和在线模拟访谈或决策日志之间的压力测量没有统计差异，这表明它们可以有效地引发在具有挑战性的临床情况下常见的反应。定性地讲，两次迭代的参与者都表示，干预使他们反思实践，考虑与决策相关的更广泛的因素，并制定改进决策的方法。结论：精心构建的在线继续教育体验可以为经验丰富的社会工作者带来相当于面对面迭代的结果。