通过强调来自少数群体的故事来扩大叙事医学的范围:一项新的促进者培训计划
Zachary G Jacobs1, Pamela Pierce2, Adam S Hoverman3,4
1Division of Hospital Medicine, Department of Medicine, Oregon Health & Science University, School of Medicine, Portland, OR, USA. jacobsz@ohsu.edu.
虚拟叙事医学 (NM) 辅导员培训成功提高了参与者的信心和技能,以促进NM活动. 这一新的计划扩大了NM在少数群体中的参与,证明了其更广泛的潜力.
科学领域:
- 健康 职业 教育 教育 专业
- 医学人文学科 医学人文学科
- 医疗保健中的社会正义
背景情况:
- 叙事医学 (NM) 对患者体验和临床医生的反思至关重要.
- 目前的NM计划往往排除边缘化的健康叙述,因为缺乏训练有素的促进者.
- 包容性和社会正义是NM的核心原则.
研究的目的:
- 评估一个新的虚拟NM促进者培训计划的有效性.
- 确定培训是否扩大了NM编程到少数群体社区.
- 评估促进者信心和技能方面的改进.
主要方法:
- 混合方法分析培训前,培训后和6个月后续调查.
- 参与者包括医疗保健专业人员,学者,护理人员和来自少数群体或与少数群体合作的患者 (n=42).
- 评估感知到的信心,在NM促进技能,和课程反.
主要成果:
- 在培训后和随访时 (p ≤0.01) 观察到对 NM 促进,课程开发和识别不同观点的信心和技能的显著改善 (p ≤0.01).
- 参与者报告说,在培训结束后,促进MN活动的增加 (平均值=1.9对1.5,p=0.006).
- 在整个研究期间,参与率保持高.
结论:
- 虚拟的NM辅导员培训成功吸引了来自少数群体的参与者.
- 该计划展示了扩大NM到服务不足的人群的潜力.
- 未来的研究应该包括客观的技能评估和定性方法,如重点小组和采访.
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