同意医学生教学:一项观察性,横截面研究,探索患者的观点
Niki Newman1, Fraser McKenzie2, Jonathan M Wells2,3
1Department of Primary Care & Clinical Simulation, University of Otago, Christchurch, New Zealand. niki.newman@otago.ac.nz.
BMC medical education
|December 24, 2024
概括
患者通常更喜欢口头同意医学生参与临床护理,老年人更喜欢隐式同意. 在同意过程中需要灵活性,以适应各种患者偏好和代际差异.
科学领域:
- 医学教育 医学教育
- 患者的同意 患者的同意
- 医疗保健道德 医疗保健道德
背景情况:
- 新西兰的指导方针要求患者同意医学生参与护理.
- 在医学生教学中,患者对同意的偏好尚未得到充分理解.
- 这项研究旨在探索患者的偏好,以增强赋权和优化护理.
研究的目的:
- 调查患者对医学生教学同意的偏好.
- 在医学教育中为患者同意提供指导方针和实践的信息.
- 为了使同意过程与患者的期望和社会价值观保持一致.
主要方法:
- 这是一项涉及123名住院患者的横截面观察性研究.
- 参与者对9个关于同意的假设临床场景做出了回应.
- 分析包括描述性统计和后勤回归来识别关联.
主要成果:
- 年龄的增加与对口头/隐含同意的偏好相关,除了敏感场景.
- 在大多数情况下 (57-82%),包括手术环境中,口头同意是首选.
- 监督医生是获得同意的首选个人,没有明确的时间偏好.
结论:
- 患者对医学生参与护理的偏好各不相同,需要灵活的同意程序.
- 在同意偏好的世代间的差异需要考虑.
- 大多数患者都愿意参加医学学生的学习机会.
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