了解医学放射专业本科生面临的具有挑战性的临床互动现状：综合文献综述。

IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography Pub Date : 2024-11-14 DOI:10.1016/j.radi.2024.10.027

J.L. Ago, A. Kilgour, C. Smith

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引用次数: 0

摘要

目的：本综述旨在确定医学放射专业学生（MRS）认为具有挑战性的临床互动的原因、类型和影响，并评估在这些具有挑战性的互动中可用的支持和应对策略。主要目的是了解医学生在临床实习（CP）期间具有挑战性的临床互动（CCIs）的现状：在PubMed、Scopus、Web of Science、Ovid Medline、CINAHL、ERIC、OpenDissertation和ProQuest Digital数据库中对2005年至2024年发表的研究进行了全面的文献检索，发现了133项研究，其中11项符合纳入标准。大多数研究（n = 8）都招募了医学影像专业的学生，没有发现针对核医学本科生的研究。从主题上看，CCIs 的主要原因是支持和准备不足，而 CCIs 的类型则有三个主题：学生的自我认知挑战、临床场景和情况以及不可接受的行为。同样，CCI 的影响也有三个主题：态度转变、持久影响和专业身份发展。所确定的应对和支持策略包括来自督导、教育工作者和学生的支持：结论：与护理和医学相比，CCIs 问题在医学辐射教育中很少受到研究关注。结论：与护理和医学相比，CCIs 问题在医学放射教育中很少受到研究关注，这可能会导致学生流失率增加，同时其阻碍学生专业能力发展的潜力也不容低估。这些CCIs及其影响需要与所有利益相关者一起进行深入研究：为使 MRS 能够实现其临床学习目标，未来的一个主要目标将是评估在 CCI 期间向所有 MRS 提供的支持和应对策略的有效性，并确保制定有效的支持策略。

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Understanding the current situation of challenging clinical interactions for medical radiation undergraduates: An integrative literature review

Objectives

The objectives of this review were to identify the causes, types, and effects of clinical interactions that medical radiation students (MRS) consider as challenging and assess available support and coping strategies during these challenging interactions. The overarching aim is to understand the current situation of challenging clinical interactions (CCIs) for MRS during clinical placement (CP).

Key findings

A comprehensive literature search on PubMed, Scopus, Web of Science, Ovid Medline, CINAHL, ERIC, OpenDissertation, and ProQuest Digital databases for studies published from 2005 to 2024 found 133 studies, with 11 meeting the inclusion criteria. Most of the studies (n = 8) recruited medical imaging students with no study found for nuclear medicine undergraduates. The main cause of CCIs identified thematically was inadequate support and preparation, while three themes were identified for the types of CCIs: students’ self-perceived challenges, clinical scenarios and situations, and unacceptable behaviours. Similarly, three themes were identified regarding the effects of CCIs: attitudinal changes, long-lasting effects, and professional identity development. The identified coping and support strategies were support from supervisors, educators, and students.

Conclusion

Compared to nursing and medicine, the issue of CCIs has received little research interest in medical radiation education. This could result in increased attrition, while its potential to impede students’ professional capability development cannot be underestimated. These CCIs and their effects need to be studied thoroughly with all stakeholders.

Implication for practice

To enable MRS to achieve their clinical learning objectives, a major goal in the future will be to assess the effectiveness of the support and coping strategies available to all MRS during CCIs and to ensure the development of effective support strategies.

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来源期刊

Radiography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.70

自引率

34.60%

发文量

169

审稿时长

63 days

期刊介绍： Radiography is an International, English language, peer-reviewed journal of diagnostic imaging and radiation therapy. Radiography is the official professional journal of the College of Radiographers and is published quarterly. Radiography aims to publish the highest quality material, both clinical and scientific, on all aspects of diagnostic imaging and radiation therapy and oncology.