本科生对社区服务和实习的选择:一项单一教师研究。

IF 1 Q4 REHABILITATION
South African Journal of Physiotherapy Pub Date : 2024-04-29 eCollection Date: 2024-01-01 DOI:10.4102/sajp.v80i1.1980
Heather Talberg, Tamara Dayaram, Sarah Geel, Sivuyile Mthembu, Rofhiwa Nthangeni, Savannah Pillay, Theresa L Burgess
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引用次数: 0

摘要

背景:实习和社区服务计划(ICSP)为刚毕业的卫生专业人员提供了一个强制性的培训期。各大学采取多种策略鼓励学生选择在农村实习:本研究描述了南非一所大学 MBChB 和健康与康复科学专业应届毕业生对 ICSP 的选择以及影响他们做出决定的因素:方法:采用自主开发的在线调查问卷,进行横断面定性描述研究。结果:大多数受访者(n = 38,n = 40,n = 40,n = 40,n = 40,n = 40大多数受访者(n = 38,45.8%)选择西开普省(WC)作为首选实习地点。在选择医疗保健级别方面,MBChB 和其他健康科学专业的学生之间存在明显差异(χ = 10.39,p = 0.006),MBChB 不太可能选择初级医疗保健(PHC)级别的实习。地区和三级医疗机构被认为是更好的学习和实践场所,而初级卫生保健和农村医疗机构则被认为是资源和人员不足的场所,因此被回避。虽然医学学士学位的学生表示对农村实习地点的偏好较低,但这一点并不显著。影响国际学生实习计划申请决定的因素包括专业支持、工作环境以及社会和个人因素:学生的实习选择基于他们对临床接触、学习机会、指导和监督的看法。离家较近的实习地点更受青睐。大学本科生的临床经验和农村背景似乎对学生的选择有一定影响,但还需要进一步调查:各大学应继续探索如何提高学生在资源不足的环境中实习的准备程度。在培训期间加强对农村和初级卫生保健场所的接触,可以鼓励学生更好地接受综合社区医疗服务计划的实习。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Undergraduate students' choices around community service and internship: A single faculty study.

Background: The Internship and Community Service Programme (ICSP) places newly graduated health professionals for a compulsory training period. Universities adopt multiple strategies to encourage students to select rural placements for ICSP.

Objectives: This study describes ICSP choices among final-year MBChB and Health and Rehabilitation Science students at a South African university and the factors influencing their decisions.

Method: A cross-sectional qualitative descriptive study was conducted using a self-developed online questionnaire. Eighty-five final-year students were recruited.

Results: Most respondents (n = 38, 45.8%) chose the Western Cape (WC) as their first choice placement. There was a significant difference between MBChB and other health science students' choice of level of healthcare (χ = 10.39, p = 0.006), with MBChB less likely to choose primary healthcare (PHC) level placements. District and tertiary care options were perceived as better sites for learning and practice, while PHC and rural sites, considered underresourced and understaffed, were avoided. Although MBChB students indicated a lower preference for rural placements, this was not significant.Factors influencing ICSP application decisions included professional support, work environment, and social and personal considerations.

Conclusion: Students' placement choices were based on their perceptions of clinical exposure, learning opportunities, mentorship and supervision. Placements closer to home were preferred. UG clinical exposure and rural background seem to have some impact on choice but need further investigation.

Clinical implications: Universities should continue to explore ways to improve students' readiness for practice in underresourced settings. Improved exposure to rural and PHC sites during training could encourage better uptake during ICSP placement.

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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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