基础医学生对必要姑息治疗经验反思的质性研究。

IF 3.5 2区 医学 Q2 CLINICAL NEUROLOGY
Ann A. Soliman MD, Jennifer M. Olenik MD, Alana Sagin MD, MSEd, Bridget Durkin MD, MBE
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引用次数: 0

摘要

导读:医学院越来越多地结合姑息治疗(PC)经验,以促进以患者为中心的护理知识,提高未来医生的基本PC技能;然而,这样做的最佳实践仍然不发达。作为四年制医学院纵向课程的一部分,所有临床预科二年级的医学生都要花半天的时间在学术医院或家庭环境中的个人电脑小组中学习。目的:评估临床预科医学生在跨学科临床团队的PC体验后关于主题和经验影响的书面反思。方法:采用定性分析的方法,对学生完成姑息医学体验一周内的反思进行评价。采用NVivo统计软件进行常规含量分析。作者根据反射的小样本归纳地开发了一个码本,随后用于对所有反射进行编码。结果:完成138个反思并纳入本分析。确定了五个主要主题:(1)介绍PC作为一个领域的内容和实质;(2)将PC理解为依赖于跨学科团队的协作努力;(3)通过观察加深对沟通技巧的理解;(4)了解系统级考虑因素和护理障碍;(5)早期个人电脑阴影影响早期职业识别考虑。总结:学生对PC有了更深入的了解,包括沟通技巧和跨学科合作,以及对未来职业身份形成的见解。研究结果强调了将必要的PC经验纳入所有临床前医学学生的价值。主题确定支持学生专业成长的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Qualitative Study of Preclinical Medical Student Reflections on Required Palliative Care Experience

Introduction

Medical schools are increasingly incorporating palliative care (PC) experiences to promote knowledge about patient-centered care and improve primary PC skills of future physicians; however, best practices for doing so remain underdeveloped. As part of a longitudinal four-year medical school curriculum, all preclinical second-year medical students spend one half-day embedded in a PC team in an academic hospital or in a home setting.

Objectives

To evaluate written reflections of preclinical medical students for themes and experience impact following a PC experience with an interdisciplinary clinical team.

Methods

Qualitative analysis was used to evaluate students’ reflections written within 1 week of completing the palliative medicine experience. Conventional content analysis was used using NVivo statistical software. Authors inductively developed a codebook based on a small sample of reflections which was subsequently used for coding all reflections.

Results

138 reflections were completed and included in this analysis. Five primary themes were identified: (1) introduction to the content and substance of PC as a field; (2) understanding PC as a collaborative effort that relies on an interdisciplinary team; (3) observation leading to deeper understanding of communication techniques; (4) understanding of systems-level considerations and barriers to care; and (5) early PC shadowing influences early professional identify consideration.

Conclusion

Students developed deeper understanding of PC, including communication skills and interdisciplinary collaboration, as well as insights about future professional identity formation. Findings highlight the value of incorporating a required PC experience for all preclinical medical students. Themes identify opportunities to support students in their professional growth.
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来源期刊
CiteScore
8.90
自引率
6.40%
发文量
821
审稿时长
26 days
期刊介绍: The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.
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