Students, Health Occupations

学生,健康职业
  • 文章类型: Journal Article
    背景:在医疗保健实践中,道德挑战是不可避免的,他们的最佳处理可能会改善病人的护理。医学教育中的道德发展对于从医学和健康科学学生到道德保健医生的过渡至关重要。了解卫生专业学生解决实践驱动的道德困境的方法可以在医学教育中利用有效的道德发展。本研究试图确定卫生专业学生应对实践驱动的道德困境的方法。
    方法:对六个录制的卫生专业学生基于案例的在线小组讨论视频进行了归纳定性评估,接下来是一个小时的在线道德研讨会。在线道德研讨会是由医学院的学生组织的,沙迦大学牙科医学院和药学院,和阿拉伯联合酋长国大学医学院。.将录制的视频逐字转录并导入到MAXQDA2022的定性数据分析软件中。采用四个阶段的综述对数据进行了分析,反映,reduce和retrieve,两个不同的编码器对结果进行了三角测量。
    结果:六个主题从对健康专业学生的基于实践的道德困境的方法的定性分析中出现;(1)情绪,(2)个人经历,(3)法律和法律制度,(4)专业背景,(5)医学研究知识和(6)跨专业教育。此外,在道德研讨会的案例小组讨论中,学生有效地运用了相关的自治伦理原则,仁慈,非恶意和正义在他们的推理过程中达成道德决定。
    结论:这项研究的结果解释了卫生专业学生如何在道德推理过程中解决道德困境。这项工作通过获得学生处理复杂临床情景的观点,为医学教育中的道德发展提供了启示。定性评估的结果将帮助学术医疗机构开发基于医学和研究的道德课程,以将学生转变为道德领导者。
    BACKGROUND: In healthcare practice, ethical challenges are inevitable and their optimal handling may potentialy improve patient care. Ethical development in medical education is critical for the transition from a medical and health sciences student to an ethical healthcare practitioner. Understanding the health professions students\' approaches towards practice-driven ethical dilemmas could harness i the effective ethical development in their medical education. This study attempts to identify the health professions students\' approaches towards practice-driven ethical dilemmas.
    METHODS: An inductive qualitative evaluation was conducted on six recorded videos of health professions students\' case-based online group discussions, followed by a one-hour online ethics workshop. The online ethics workshop was organized with students from the College of Medicine, College of Dental Medicine and College of Pharmacy at the University of Sharjah, and the College of Medicine at the United Arab Emirates University. . The recorded videos were transcribed verbatim and imported to the qualitative data analysis software of MAXQDA 2022. Data were analyzed applying four stages of review, reflect, reduce and retrieve and two different coders triangulated the findings.
    RESULTS: Six themes emerged from the qualitative analysis of the health professions students\' approaches to the practice-based ethical dilemmas; (1) emotions, (2) personal experiences, (3) law and legal system, (4) professional background, (5) knowledge of medical research and (6) inter-professional education. In addition, during the case-based group discussions in the ethics workshop, students efficiently applied the relevant ethical principles of autonomy, beneficence, non-maleficence and justice in their reasoning process to reach an ethical decision.
    CONCLUSIONS: The findings of this study explained how health professions students resolve ethical dilemmas in their ethical reasoning process. This work sheds light on ethical development in medical education by gaining students\' perspectives in dealing with complex clinical scenarios. The findings from this qualitative evaluation will aid academic medical institutions in developing medical and research-based ethics curriculum to transform students to ethical leaders.
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  • 文章类型: Journal Article
    所有医疗保健专业人员必须了解有关患者生物物理功能的信息,重要的是教育专业人员如何在跨专业团队中使用这些信息进行诊断。然而,对于涉及生物物理功能诊断的医学技术和放射学学生,几乎没有跨专业教育。在本研究中,我们开发了一种基于病例的跨专业学习工具,用于使用生物物理信息进行诊断.该研究检查了使用该工具对医疗保健专业学生进行协作运动研讨会的效果。参与者是来自三个医疗保健专业的234名学生(医疗技术,放射科学,和物理治疗)。他们在研讨会之前和之后完成了日文版的跨专业学习准备量表。研讨会采用了数字材料,允许学生检查虚拟患者的测试结果,回答问题,讨论他们的诊断和预后.为了进行分析,对三个部门的跨专业学习准备量表的总分进行了双向方差分析,并比较了三个部门研讨会的有效性。统计分析显示时间和部门之间没有相互作用(p=0.283)。研讨会结束后,来自所有三个部门的学生在跨专业学习准备量表(p<0.01)上的总分显着提高,具有中等到较大的效果大小(r=0.33-0.52)。在部门之间的比较中,在研讨会之前,仅医学技术和放射学专业学生的认知水平存在显着差异(p=0.015)。这项研究与来自三个部门的学生进行了基于案例的学习研讨会,其中患者的生物物理信息是在职业实践之间传达的。讲习班提高了所有部门学生的跨专业教育意识,并表明跨专业教育对于参与生物物理功能诊断的医疗保健专业非常重要。
    All healthcare professionals must understand information on a patient\'s biophysical functions, and it is important to educate professionals on how to use this information in an interprofessional team for diagnosis. However, there is little interprofessional education for students of medical technology and radiological science involved in biophysical function diagnosis. In the present study, we developed a case-based interprofessional learning tool for using biophysical information for diagnosis. The study examined the effects of a collaborative exercise workshop for healthcare professional students using the tool. Participants were 234 students from three healthcare professions (medical technology, radiological science, and physical therapy). They completed the Japanese version of the Readiness for Interprofessional Learning Scale before and after the workshops. The workshops incorporated digital materials that allowed students to examine the test results of a virtual patient, answer questions, and discuss their diagnoses and prognoses. For analysis, a two-way analysis of variance was performed on the total score on the Readiness for Interprofessional Learning Scale of the three departments, and the effectiveness of the workshop for the three departments was compared. Statistical analyses showed no interaction between time and department (p = 0.283). After the workshop, students from all three departments showed significant improvements in total scores on the Readiness for Interprofessional Learning Scale (p < 0.01) with medium to large effect sizes (r = 0.33-0.52). In the comparison between departments, there was a significant difference in the awareness levels of only medical technology and radiological science students before the workshop (p = 0.015). This study conducted case-based learning workshops with students from three departments, in which a patient\'s biophysical information was conveyed between occupational practices. The workshops improved the awareness of interprofessional education in students from all departments and revealed that interprofessional education is important for healthcare professions involved in biophysical function diagnosis.
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  • 文章类型: Journal Article
    “你好,我的名字是……”活动强调了富有同情心的护理的重要性,并着重于卫生专业人员向患者介绍自己。研究发现,使用姓名是为个人提供归属感的关键,并且对于确保患者安全至关重要。
    调查学生在校服上印有“你好,我的名字是…”的经历,并在实践中实施这项运动。
    一个案例研究被用来捕捉40个多专业医疗保健学生在实践中的经验。参与者被要求在练习的第一周完成反思日记,并与其他4-8名学生一起参加焦点小组。
    英格兰东北部的一所高等教育机构,学生来自成人,儿童和学习障碍护理,职业治疗,理疗和助产计划,在整个地区的各种临床位置。
    在学生的制服上实施该活动和徽标品牌的实施导致学生在实践中被他们的名字称呼的次数增加。参与者报告说,这项研究帮助他们在安置时迅速发展归属感,并帮助他们提供富有同情心的护理。还报告了患者安全性得到改善的情况。
    名字的使用是人际关系和提供同情关怀的关键特征,作者提倡使用“你好,我的名字是...”运动为所有卫生专业人员。
    UNASSIGNED: The \'Hello my name is …\' campaign emphasises the importance of compassionate care and focuses on health professionals introducing themselves to patients. Research has found that using names is key to providing individuals with a sense of belonging and can be vital in ensuring patient safety.
    UNASSIGNED: To investigate the student experience of having \'Hello my name is …\' printed on student uniforms and implement this campaign in practice.
    UNASSIGNED: A case study was used to capture the experiences of 40 multiprofessional healthcare students in practice. Participants were asked to complete a reflective diary during their first week in practice and attend a focus group with 4-8 other students.
    UNASSIGNED: A higher education institution in the north east of England with students from adult, child and learning disability nursing, occupational therapy, physiotherapy and midwifery programmes, in a variety of clinical placements throughout the region.
    UNASSIGNED: The implementation of the campaign and logo branding on the uniforms of students resulted in an increase in the number of times students were addressed by their name in practice. Participants reported that the study helped them to quickly develop a sense of belonging when on placement, and aided them in delivering compassionate care. Occasions when patient safety was improved were also reported.
    UNASSIGNED: The use of names is a key feature in human relationships and the delivery of compassionate care, and the authors advocate use of the \'Hello my name is …\' campaign for all health professionals.
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  • 文章类型: Journal Article
    This study aimed to examine Diagnostic Radiography (DR) students\' perceptions and attitudes towards the Health Collaboration Challenge (HCC), as an interprofessional learning opportunity.
    DR students participated in the HCC, an annual intensive interprofessional collaboration and assessment activity involving case-based learning. Students\' attitudes towards Interprofessional Education (IPE) were measured using a modified version of the Interprofessional Socialisation and Valuing Scale (ISVS-21) and a bespoke questionnaire with items relating to the HCC. Subsequent focus groups explored students\' experience of IPE within the HCC context.
    Survey results (n = 30) suggested a mostly positive attitude towards IPE alongside other health care students, acknowledging the value of interprofessional teams in patient health care. Qualitative themes from focus group participants (n = 8) revealed that DR students, while appreciating the value of shared-decision making, found the HCC assessment distracting. Challenges included the intensive nature of the HCC, roles that DR students undertook in addressing assessment criteria, case complexity and opportunities for DR students to showcase their knowledge.
    Results suggest that the intensive and assessable nature of the HCC can overshadow the value of IPE for DR students, and immersive or staggered approaches to IPE could better align with DR professionals\' unique role within the patient care spectrum.
    Revised IPE models for DR students could include a more immersive environment, conducted over a longer period of time, with meetings at semi-regular intervals to promote an interprofessional-focus over a task-focus approach.
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  • 文章类型: Journal Article
    This paper presents a valuable activity to teach health professions students - the interprofessional geriatric case competition. This program brought together students from multiple health professions to design and present a comprehensive care plan using a simulated complex geriatric patient case. Student participants demonstrated beginning skills in interprofessional collaboration based on the IPEC competencies. The case competition provides a positive, engaging experience to introduce health professions students to geriatric principles and develop their readiness for collaborative interprofessional practice. The competition could be conducted virtually, providing a supplement to on-site education.
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  • 文章类型: Journal Article
    Increasing emphasis on medical trainee competence in patient safety and quality improvement processes has led to development of various safety and quality curricula.
    Curriculum surveys indicated our medical school\'s module-based safety and quality improvement curriculum did not meet student satisfaction benchmarks. We developed a single-day interprofessional patient safety workshop combining students from three different health care training programs (medical doctor, physician assistant, nurse anesthetist). Clinical facilitators from each profession were paired with institutional safety and quality officers. A novel curriculum was created based on a real patient safety case: Students were charged with conducting key interviews of those involved in the event as a root cause analysis (RCA) and developing a process improvement plan based on their RCA findings to present to a panel of institutional executives. Pre- and postevent surveys were completed and analyzed by trainee program.
    This workshop improved students\' attitudes regarding interprofessional education and expanded their knowledge of investigating safety events. Overall, assessed knowledge and attitudes improved 53% over the previous safety curriculum. Eighty-one percent of students agreed or strongly agreed that the workshop helped them think about the health care system in a new and different way. One corrective action suggested by a student group during the executive panel was later adopted by our institution and resulted in a permanent change to our health care system.
    This case-based interprofessional workshop was well received by students and facilitators and allowed purposeful interactions between students in different arenas of medical training.
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  • 文章类型: Journal Article
    Organ transplantation is often the only hope for patients with end-stage organ failure. Organ transplant surgeries are increasingly becoming available in Pakistan. From May-July 2017, using convenience sampling and statistical programme R 3.4.1, we assessed and compared the organ donation attitudes among medical and allied health undergraduate students of the Hamdard University in Karachi. Compared to non-medical students, medical students were more likely to be concerned that family members of brain-dead patients would be upset if approached for organ donation, and felt that appropriate time for bringing up organ donation would be after the declaration of brain death has taken place. Medical students also considered prolonging life by using human organ transplants more appropriate, and considered organ donation desirable when a patient has been declared brain dead. As demand of human organs for transplantation far exceeds the supply, there is need to better understand the dynamics underpinning positive attitudes towards organ donation, and to improve educational activities by encouraging debate and acceptance of organ donation for saving lives.
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  • 文章类型: Journal Article
    OBJECTIVE: To examine how the implementation of a year-long interprofessional clinical case course for pharmacy and physician assistant (PA) students affects student self-reported interprofessional collaboration-related competencies in 6 skill areas (communication, collaboration, roles and responsibilities, collaborative patient/family-centered approach, conflict management/resolution, and team functioning) and whether outcomes differed between the 2 professions.
    METHODS: Pharmacy and PA students completed the Interprofessional Collaborative Competency Attainment Survey (ICCAS) at the beginning and end of a year-long interprofessional, team-based clinical case course. Survey results were compared using a mixed-design analysis of variance model to determine the effect the course had on students\' self-reported competencies of interprofessional care and whether the outcomes differed between student groups.
    RESULTS: One-hundred fifteen students completed both the presurvey and postsurvey. Significant improvement in student self-reported team-based behaviors were noted in 11 of the 20 ICCAS items, and results were similar among student groups.
    CONCLUSIONS: This study demonstrates that an interactive, interprofessional clinical case course can positively change student self-reported team-based behaviors.
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  • 文章类型: Case Reports
    跨专业教育,这给了医学生学习的机会,with,以及其他卫生专业人员,是本科医学教育课程的重要组成部分。尽管如此,有意和持续地将跨专业教育融入本科医学学习经历可能是具有挑战性的,尤其是在临床环境中。
    我们实施了75分钟,互动式,协作,基于案例的会议,重点是儿科环境中的跨专业临床挑战。医学生对他们的儿科核心轮换和社会工作内部的学员,护理,药房,营养学探索了团队的概念,反映在角色上,并考虑了跨专业合作如何影响患者的预后。
    一百九十二名卫生专业学生在10个月期间(2017年9月至2018年7月)在三个地点参加了15次会议。每次会议结束后,参与者完成了会议评估。他们对经验和案例插图的有效性和相关性给予了很高的评价。对开放式问题的回应表明,学生们已经学会了利用团队成员的专业知识的重要性,并决心在未来面临跨专业挑战时大声疾呼。
    这个基于案例的会议是一个后勤上可行和积极接受的机会,卫生专业学生讨论跨专业合作。它可以适应各种学习者群体和学术环境,并可以纳入现有课程。
    Interprofessional education, which gives medical students the opportunity to learn from, with, and about other health professionals, is an essential component of the undergraduate medical education curriculum. Nonetheless, deliberate and sustained integration of interprofessional education into the undergraduate medical learning experience can be challenging, especially within the clinical setting.
    We implemented a 75-minute, interactive, collaborative, case-based conference focusing on an interprofessional clinical challenge in a pediatric setting. Medical students on their pediatrics core rotation and trainees within social work, nursing, pharmacy, and nutrition explored the concept of a team, reflected on roles, and considered how interprofessional collaboration could influence patient outcomes.
    One hundred ninety-two health professions students participated in 15 sessions at three sites over a 10-month period (September 2017-July 2018). After each session, participants completed a session evaluation. They gave high ratings to the effectiveness and relevance of the experience and the case vignette. Responses to open-ended questions revealed that students had learned the importance of leveraging the expertise of team members and had resolved to speak up when faced with an interprofessional challenge in the future.
    This case-based session is a logistically feasible and positively received opportunity for health professions students to discuss interprofessional collaboration. It could be adapted for a variety of learner populations and academic environments and could be incorporated into existing curricula.
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  • 文章类型: Journal Article
    Lao People\'s Democratic Republic (Lao PDR) with a population of 6.8 million is a low middle-income country in Southeast Asia. Despite economic development, Lao PDR is still characterized by a weak health system. The Ministry of Health has launched health reforms to provide better health services and University of Health Sciences (UHS) plays an essential role in Human Resources for Health (HRH) reform. Especially, the importance of its role in training health professionals from entry-level to continuing education has been increased. In 2016, the UHS embedded an Interprofessional Education (IPE) concept into a pre-qualifying course, in collaboration with the World Health Organization and the Gunma University Centre for Research and Training on IPE. As a pilot study, some students from faculties of Medicine, Pharmacy, Dentistry, Nursing, and Medical Technology participated in a community-based IPE program. Results suggested that students participating in the IPE program showed more positive attitudes toward collaborative practice than students who did not participate in the IPE program. Based on the results, the UHS is planning to develop an IPE program for health workers. In this article, we describe the strategic international collaboration and discuss the keys to successful IPE planning and implementation in line with HRH reform.
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