基于病例和交流方法的跨专业教育的有效性

Emiko Yamamoto, M. Kanaoka, Takayuki Nemoto, Yumiko Kinoshita, Ryu Takeya, Toshihiko Yanagita
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摘要

药理学角色扮演是一种以病例和沟通(C & C)为基础的方法,已被开发用于医学教育,其学习效果已有报道。为了从小培养医务人员的团队精神,我们建议在跨专业教育(IPE)中发展 C & C 方法。因此,本研究旨在探讨C & C教学法在医护学生联合授课过程中的学习效果。2017年12月,我们采用C & C方法模拟了向患者解释药物的情景,并收集了103/115名医学生(90%)和55/60名护学生(92%)的回答。所使用的调查问卷旨在评估以下五个项目:理解药物疗法、理解病人的感受、学习动机、学习态度的转变和理解 IPE。关于学习内容的开放式问题是根据自由文本回答进行分析的。每个学生小组都认可该方法的有效性以及合作的重要性。共有 80.2% 的医科学生和 76.3% 的护理学生将 "对 IPE 的理解 "评为 "非常有效/有效"。学员们了解到视角的差异,医科学生深入了解了护理学生与病人互动的方法,护理学生则了解了医生对疾病和医疗的看法。总之,C & C 方法被证明是一种有益的 IPE 方法,它提高了护理专业学生和医科学生对沟通技巧和病人视角重要性的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of Interprofessional Education Based on the Case-and Communication-Based Approach
Pharmacology role-playing, which follows a case and communication (C & C)-based approach, has been developed for use in medical education, and its learning effects have been reported. To cultivate team spirit among medical professionals from an early stage, we proposed developing the C & C approach for interprofessional education (IPE). Therefore, this study aimed to examine the learning effects of the C & C approach during joint classes of medical and nursing students. In December 2017, we employed the C & C approach to simulate a scenario in which drugs were explained to patients, and responses were collected from 103/115 medical (90%) and 55/60 nursing students (92%). The questionnaires used were designed to evaluate the following five items: understanding pharmacotherapy, understanding patients’ feelings, learning motivation, change in learning attitudes, and understanding IPE. Open-ended questions on learning content were analyzed based on free-text responses. Each student group acknowledged the effectiveness of the approach and the importance of cooperation. In total, 80.2% of medical students and 76.3% of nursing rated “understanding of IPE” as “very effective/effective.” Participants learned about the disparity in perspectives, with medical students gaining insight into nursing students’ approaches to patient interactions, and nursing students acquiring an understanding of doctors’ perspectives on disease and medical treatment. In conclusion, the C & C approach proved beneficial as an IPE method, raising awareness among both nursing and medical students about the significance of communication skills and patient perspectives.
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