由于患者死亡而发生的变化:医学学生的期望与卫生专业人员的经验
1Department of Medical Humanities (C.C.), School of Humanities, Southeast University, Nanjing, China..
Journal of pain and symptom management
|June 21, 2024
概括
医学学生经常高估患者死亡的影响,近四分之一的人表现出过于乐观的期望. 研究医学的动机和死亡态度预测了这些关于期望的动机,突出了需要更好的准备.
科学领域:
- 医学教育 医学教育
- 死亡和死亡的心理学.
- 专业的丧失失丧失工作人员的伤心.
背景情况:
- 医疗保健专业人员面临患者死亡的有效准备对于防止负面的职业丧失结果至关重要.
- 了解学生的期望与患者死亡的专业经验对开发有针对性的支持至关重要.
研究的目的:
- 为了探索医学学生的期望和医疗保健专业人员的经验之间的差异,关于累积的全球变化 (AGC) 由于患者的死亡.
- 为了确定与患者死亡有关的学生期望的不同模式.
- 发现与学生之间有关期望模式相关的风险因素.
主要方法:
- 对231名专业护理人员和405名医学和护理学生进行了横截面调查.
- 统计分析包括独立的t测试,协变性分析,隐性配置分析 (LPA) 和后勤回归.
- 用LPA来识别学生之间的不同期望模式.
主要成果:
- 与工作人员相比,学生报告说,他们更容易接受局限性,与死亡相关的焦虑也更大.
- 在使用LPA的学生中,发现了四种不同的潜伏期望模式.
- "过度乐观"的模式 (27.8%的学生) 的特点是高估了积极的变化和低估了负面的变化,被确定为一种令人担忧的模式.
结论:
- 医学学生通常高估了患者死亡的长期影响.
- 很大一部分学生 (约25%) 对患者死亡有过于乐观的预期.
- 追求医学的动机 (例如,兴趣,职业机会) 和对死亡的中立接受预测了这些过于乐观的期望.
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