跨专业国际医疗团赴洪都拉斯前后学生认知分析

Craig Kimble, Tyler B. Clay, R. Stanton, Amber Payne, O. Attarabeen
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摘要

目的:本研究评估学生在完成为期五周的以医疗任务为重点的国际医疗保健高级药学实践经验(APPE)之前和之后的认知。我们的目标是了解医疗使命APPE课程如何满足学生的期望,扩展跨专业技能,以及医疗使命APPE对学生的文化敏感性和对患者护理的移情方法的影响。方法:采用两项匿名调查对APPE学生的认知进行评估。这些调查进行了两年多,第一次调查在旅行出发前进行。第二次调查是在国内体验之后,但在课程结束之前进行的。对调查结果进行比较,以确定与提供病人护理有关的观点的变化,并确保学生达到课程目标。此外,在调查中,学生被要求反思学习经验,包括跨专业诊所、药物分配、同理心和洪都拉斯医疗保健系统。结果:学生选修本课程的主要动机是希望帮助他人。学生们反映了与讲另一种语言的病人交流的困难,因为那里的技术有限,他们不得不依靠口译员。在旅行之前,调查中有很大比例的学生没有表现出对洪都拉斯经历的贫困程度的理解。旅行后的感知证实了在发展中国家体验生活时感知与现实的变化。调查结果表明,这次APPE经历改变了他们的生活(67%),并改变了他们对患者作为医疗保健提供者的看法(83%)。结论:本研究的结果表明,作为APPE课程的一个组成部分,让学生接触发展中国家的医疗保健的价值。更重要的是,认识到药学院、经验联盟和专业组织需要合作,以确保大流行后这些经验得以延续。学生们表示,这是一次改变人生的经历,他们把这门课推荐给其他学生,并表示这门课会显著影响他们提供同理心的病人护理的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of Student Perceptions Before and After Interprofessional International Medical Mission APPEs to Honduras
Objectives: This study evaluated student perceptions before and after completing a five-week Advanced Pharmacy Practice Experience (APPE) in International Healthcare focused on Medical Missions. Our objective was to understand how a medical mission APPE course meets student expectations, expanded interprofessional skills, and the impact the medical mission APPEs had on student’s cultural sensitivity and empathetic approach to patient care. Methods: Two anonymous surveys were used to assess APPE student’s perceptions. These were conducted over 2 years with the first survey administered prior to trip departure. The second survey was administered after the in-country experience but prior to the end of the course. Survey results were compared to identify changes in perspectives related to providing patient care and to ensure students met course objectives. Additionally, in the surveys, students were asked to reflect on learning experiences including interprofessional clinics, medication distribution, empathy, and the Honduran healthcare system. Results: Student’s primary motivation for taking this APPE elective was their desire to help others. Students reflected on the difficulties in communication with patients who spoke another language where access to technology was limited and they had to rely on interpreters. Prior to trip, a large percentage of the students on the survey did not demonstrate an understanding of the depth of poverty experienced in Honduras. Post–trip perceptions confirmed the change in perception versus reality when experiencing life in a developing country. Survey results suggested this APPE experience was a life changing one for them (67%) and changed their perception of patients as a healthcare provider (83%). Conclusions: Results of this study demonstrate the value of exposing students to healthcare in a developing country as a component of the APPE curriculum. Even more important is recognizing the need for schools of pharmacy, experiential consortiums, and professional organizations to partner to ensure the continuation of these experiences post-pandemic. Students indicated this was a life-changing experience, recommended this as a course for other students to take, and stated this course would markedly affect them in their approach to providing empathetic patient care.
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