医学学生在临床教育期间对以患者为中心的沟通技能培训的观点:一个纵向混合方法调查研究
Anna M Kerr1, Mackenzie Atwell2, Samantha Galiffo2
1Division of Pediatric Hematology and Oncology, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
三年级医学学生获得了沟通技能的信心,特别是在急诊和初级保健中. 对沟通技巧培训 (CST) 的满意度因轮换而异,手术轮换的评分较低.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 以患者为中心的护理
背景情况:
- 沟通技巧培训 (CST) 对医学学生至关重要.
- 了解学生对CST在不同临床轮换中的看法是必不可少的.
- 以患者为中心的沟通是医疗保健中的一个关键能力.
研究的目的:
- 检查第三年医学学生在临床轮换期间对CST的看法.
- 确定患者为中心的沟通在各种子专业中最相关的维度.
- 评估CST如何影响学生的信心和满意度.
主要方法:
- 对273名医学三年级学生进行了四阶段纵向混合方法调查.
- 用重复测量来追踪学生观念的变化.
- 学生对CST和沟通技能的评估在不同的轮换中收集.
主要成果:
- 学生报告说,到第三年,他们对沟通技能的信心增加了,特别是问和回答问题.
- 在紧急医疗,初级保健和家庭医疗轮换期间,对CST和直接患者沟通的满意度最高.
- 一般手术轮换获得了CST的最低评价,重点是时间管理而不是以患者为中心.
结论:
- 医学学生受益于CST专注于先进的以患者为中心的沟通,特别是适应具有挑战性的互动和时间限制.
- 应该制定特定学科的沟通课程,强调当前临床任务的突出行为.
- 以学生为中心的,学科特定的CST方法可以增强学生的信心,并改善未来的患者护理.
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