在儿科环境中提供文化敏感的护理:我们的学员准备好了吗?
Anna Chen1, Zachary Blatman1, Amy Chan2
1University of Toronto Temerty Faculty of Medicine, 1 King's College Cir, Toronto, ON, M5S 1A8, Canada.
BMC medical education
|September 20, 2023
概括
儿科医生实习生希望提供文化响应的护理,但缺乏信心. 他们更喜欢实践培训,而不是讲座,以提高医疗保健中的公平,多样性和包容性 (EDI).
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 儿科 儿科 儿科
背景情况:
- 对于边缘化的人群来说,医疗保健不平等仍然存在,需要在医学教育中早期整合公平,多样性和包容性 (EDI) 原则.
- 解决医疗保健中的系统压迫需要将EDI嵌入医疗培训中,以改善患者的治疗结果.
研究的目的:
- 评估儿科实习生对EDI课程的兴趣.
- 评估实习生对应用EDI知识进行文化响应性护理的信心.
主要方法:
- 匿名在线调查分发给多伦多大学的儿科实习生.
- 混合方法方法使用利克尔特尺度来确定信心/兴趣,以及开放式问题来确定学习模式.
- 用描述性统计数据总结的定量数据;根据主题分析的定性数据.
主要成果:
- 在116名实习生中,97%的人认为文化响应性护理很重要,但许多人缺乏信心 (42%的知识,47%的应用).
- 实习生更喜欢直接临床接触 (轮换,沉浸式体验),而不是教学方法.
- 障碍包括时间限制,倦怠和对不同患者群体的有限接触.
结论:
- 儿科实习生有动力提供文化响应的护理,但需要加强建立信心的策略.
- 有效的EDI教育应该优先考虑直接的临床经验和沉浸式学习.
- 这些研究结果将有助于为儿科住院计划制定改进的EDI课程.
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