通过叙事医学来打击医学教育中的年龄歧视
Sarah Morgan1, John Carlo Pasco2, Lindsay Demers3
1Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Gerontology & geriatrics education
|January 13, 2024
概括
"我的生活,我的故事"计划通过通过病人的生活故事采访培养同情心,减少了医学学生的年龄歧视. 这种叙事医学方法改善了人们对衰老和老年人的态度.
科学领域:
- 医学教育 医学教育
- 老年病的医生 老年病的医生
- 心理学 心理学 心理学
背景情况:
- 年龄歧视在医疗学员中很普遍,在医疗保健中构成了重大挑战.
- "我的生活,我的故事"节目已证明在增强同情心方面具有有效性.
- 打击年龄刻板印象对于改善老年护理至关重要.
研究的目的:
- 评估"我的生活,我的故事"计划在减少医学四年级学生之间的年龄歧视方面的有效性.
- 评估叙事医学对医疗学员对衰老的态度的影响.
- 探索生活故事干预对老年患者感知的影响.
主要方法:
- 为151名医学四年级学生在老年病学实习中实施"我的生活,我的故事"计划.
- 学生使用半结构化指南进行了患者生活故事采访.
- 加州大学洛杉矶分校老年病学态度尺度和对衰老的期望调查的职务前和职务后管理,补充了学生汇报和教师采访.
主要成果:
- 干预后,学生与年龄主义言论的一致性显著下降,例如更喜欢年轻的患者或将老年视为固有的抑郁症.
- 定性分析揭示了一个关键主题:"干预对护理团队的影响",其中的子主题突出了对老年人生活丰富性,社会价值和健康面临的社会决定因素的认识.
- 该计划显然改变了医学学生对衰老的态度.
结论:
- "我的生活,我的故事"计划是解决医疗教育中年龄刻板印象的实用和有效工具.
- 叙事医学,通过使用生活故事,可以培养同理心,并改善学员对老年患者的看法.
- 专注于患者叙述的干预措施可以积极影响医疗保健专业人员的态度,并可能提高老年人护理的质量.
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