Enhancing intercultural competence of German medical students through innovative teaching on medical ethics with a focus on Muslim patients - a pilot study.

IF 3 1区 哲学 Q1 ETHICS
Aysun Tekbaş, Arian Mauntel, Thomas Lehmann, Hans-Michael Tautenhahn, Utz Settmacher, Teresa Festl-Wietek, Anne Herrmann-Werner
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引用次数: 0

Abstract

Background: Effective healthcare delivery in today's diverse society necessitates healthcare providers' adeptness in navigating cultural and religious nuances in patient care. However, the integration of cultural competence training into medical education remains inadequate, particularly concerning the care of Muslim patients. In response, we introduce a novel educational intervention aimed at enhancing intercultural proficiency among medical students, emphasizing care for Muslim patients.

Methods: The intervention comprised interactive seminars and simulated patient sessions. With a bespoke and the Cross-Cultural Competence of Healthcare Professionals (CCCHP-27) questionnaire the pre- and post-course intercultural competencies of n = 31 medical students of the Medical Faculty of Jena University were assessed. Additionally, there was a control group consisting of 34 students. Statistical analyses including descriptive statistics, paired samples t-tests, Wilcoxon tests, correlation analysis, Mann-Whitney U-tests, and multiple regression analysis were employed for data analysis.

Results: Results of the bespoke questionnaire reveal significant improvements in intercultural knowledge (median pre 1.0 (0.6 - 1.6), median post 2.2 (2.4-2.8), p < 0.001) and in knowledge regarding Muslim patients (median pre 1.0 (0.5 - 1.5), median post 2.5 (2-3), p < 0.001) following the course. Regarding the CCCHP-27, students demonstrated a significant improvement in their skills, with pre-assessment score of 4.10 (± 0.47) and post-assessment score of 4.38 (± 0.40), p = 0.001. Female participants and those with limited prior experience demonstrated greater gains (p = 0.005 and p = 0.053). Notably, the incorporation of a session with a simulated patient garnered favorable feedback, affirming the efficacy of practical application in consolidating learning outcomes.

Discussion: Our study emphasizes the importance of integrating intercultural competencies training into medical education and our findings underscore the efficacy of targeted educational interventions in enhancing intercultural competencies among medical students. For the assessment of intercultural competence, our bespoke questionnaire serves as a valuable addition to the German healthcare system.

Conclusion: Implementation of similar interventions into medical curricula nationwide is imperative to address the needs of diverse patient populations effectively.

通过以穆斯林病人为重点的医学伦理创新教学,提高德国医科学生的跨文化能力——一项试点研究。
背景:在当今多样化的社会中,有效的医疗保健服务需要医疗保健提供者熟练地在患者护理中导航文化和宗教的细微差别。然而,将文化能力培训纳入医学教育仍然不够,特别是在照顾穆斯林病人方面。作为回应,我们引入了一种新的教育干预措施,旨在提高医学生的跨文化能力,强调对穆斯林患者的照顾。方法:干预包括互动式研讨会和模拟患者会议。采用定制的医疗保健专业人员跨文化能力问卷(CCCHP-27)对Jena大学医学院的n = 31名医学生进行课前和课后的跨文化能力评估。另外,还有一个由34名学生组成的对照组。采用描述性统计、配对样本t检验、Wilcoxon检验、相关分析、Mann-Whitney u检验、多元回归分析等统计方法进行数据分析。结果:定制问卷的结果显示了跨文化知识的显著提高(中位数在1.0之前(0.6 - 1.6),中位数在2.2之后(2.4-2.8),p讨论:我们的研究强调了将跨文化能力培训纳入医学教育的重要性,我们的研究结果强调了有针对性的教育干预在提高医学生跨文化能力方面的有效性。对于跨文化能力的评估,我们定制的问卷是对德国医疗保健系统的宝贵补充。结论:为有效解决不同患者群体的需求,在全国医学课程中实施类似的干预措施势在必行。
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来源期刊
BMC Medical Ethics
BMC Medical Ethics MEDICAL ETHICS-
CiteScore
5.20
自引率
7.40%
发文量
108
审稿时长
>12 weeks
期刊介绍: BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.
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