生命结束时的价值观和不确定性:临床前医学学生的标准化病例
Ryan Jenkins1, Anastasia Rowland-Seymour2, Erin Gentry Lamb3
1Assistant Professor, Department of Pediatrics, University of Michigan Medical School.
概括
医学学生发现了一种新的终身护理模拟,令人焦虑但有价值. 该练习有效地教导了临床不确定性和预后,并得到了学生和标准患者的积极反.
科学领域:
- 医学教育 医学教育
- 终身护理教育 终身护理教育
- 基于模拟的学习
背景情况:
- 医生学习者需要加强终身护理 (EOLC) 教育.
- 临床的不确定性和提供有意义的早期学习经验带来了挑战.
- 为了解决这些差距,开发了一种新的标准化患者 (SP) 接触.
研究的目的:
- 评估一个新的SP病例,旨在向临床前医学学生教授终身护理.
- 评估学生在管理临床不确定性和预后方面的舒适性,信心和表现.
- 收集关于模拟可行性和有效性的反.
主要方法:
- 一个新开发的SP病例被给予了178名医学二年级学生.
- 学生和SP反采集使用利克尔特尺度调查问卷后遭遇.
- 分析数据以评估与不确定性和预后相关的学习目标.
主要成果:
- 学生报告了焦虑 (M=4.8/7.0),但感到舒适 (M=4.7/7.0),并有信心承认不确定性 (M=5.7/7.0).
- 医务人员对学生的护理目标 (M=5.8/7.0) 和护理规划 (M=6.3/7.0) 的评价很高.
- 98%的学生同意该案解决了不确定性学习目标.
结论:
- SP案例有效且可行地针对了EOLC的不确定性和预后的学习目标.
- 学生们认为这个案子具有挑战性,但有价值,表现良好,并积极评价经验.
- 该研究强调了强项和改进领域,以便在未来实施EOLC模拟.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.2K
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.1K
相关概念视频
Ethical Issues
841
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
841
Ethical Dilemmas II
896
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
896
Professional Values
6.4K
Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
6.4K
Nursing Ethical Principles II
904
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
904
Ethics and Bioethics
1.3K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.3K
Standards of Care II
632
Nurses bear specific legal responsibilities under several federal statutes, including:
632
