‘That's someone's grandma’: Teaching person-centred care in a frailty context

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-12 DOI:10.1111/tct.13627

Lucy Robinson, Inga Andrew, Lee Kenny, Sophie Garrad, Richard Thomson, James Fisher

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Abstract

Background

The ability to provide person-centred care (PCC) is an essential skill for doctors and requires therapeutic empathy. We sought to evaluate a novel teaching approach to understand how medical students' personal reflections on an older person impact their views about PCC and frailty.

Approach

We designed a teaching session where students prepared an image and story about an older person they knew. Given the innovative nature of this, we set it in the context of a Plan Do Study Act cycle to ensure evaluation and continuous improvement at each stage. Students' contributions were discussed in a supportive environment, weaving together stories about individuals with the impacts of ageing they experienced. We evaluated the teaching with a pre- and post-session ‘frailty’ word cloud and an online focus group.

Evaluation

Word cloud analysis showed a shift in the words students used when considering ‘frailty’, from words associated with illness and vulnerability to those associated with character and experience. Focus group themes supported these findings. Students expressed a change in their perception of frailty to consider ‘the person behind the patient’, which, unexpectedly, led to them also seeing ‘the person behind the medical student’. The session stimulated student reflection on challenges that may impact on delivery of truly person-centred care.

Implications

This flexible teaching technique was an effective stimulus for medical students to consider the person behind the patient. Future work could consider how to promote retention of empathy as medical students make the transition to working as a doctor.

Abstract Image

查看原文本刊更多论文

“那是别人的奶奶”：在虚弱的背景下教授以人为中心的护理。

背景：提供以人为中心的护理（PCC）的能力是医生的基本技能，需要治疗同理心。我们试图评估一种新颖的教学方法，以了解医学生对老年人的个人反思如何影响他们对PCC和虚弱的看法。方法：我们设计了一个教学环节，学生们准备了一个他们认识的老年人的形象和故事。鉴于这一点的创新性，我们将其设置在计划-研究-法案周期的背景下，以确保每个阶段的评估和持续改进。学生们的贡献在一个支持性的环境中进行了讨论，将个人经历的老龄化影响交织在一起。我们用课前和课后的“虚弱”单词云和在线焦点小组对教学进行了评估。评估：单词云分析显示，学生在考虑“脆弱”时使用的单词发生了变化，从与疾病和脆弱性相关的单词转变为与性格和经历相关的单词。焦点小组的主题支持了这些发现。学生们表示，他们对虚弱的看法发生了变化，转而考虑“病人背后的人”，出乎意料的是，这也导致他们看到了“医学生身后的人”。该课程激发了学生对可能影响提供真正以人为中心的护理的挑战的反思。启示：这种灵活的教学技巧是一种有效的激励，让医学生考虑病人背后的人。未来的工作可以考虑如何在医学生过渡到医生工作时促进同理心的保持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.