医学学生在为老年患者提供医疗护理方面的经验:丰富的图片研究
Emma J Draper1,2, Anne de la Croix3,4,5,6, Ariadne A Meiboom1,2
1Department of Medicine for Older People, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Medical education
|January 24, 2026
概括
医学学生发现,当他们感受到联系并见证富有同情心的护理时,照顾老年患者是有回报的,但由于沟通障碍,令人丧. 医学教育应该促进反思性实践,以增强这些经验.
科学领域:
- 医学教育 医学教育
- 老年人护理 医疗老年人护理
- 定性研究是指质量研究.
背景情况:
- 全球人口老龄化需要为未来的医生提供更好的老年护理培训.
- 医学学生往往对照顾老年人的态度不那么积极,受知识差距和文化因素的影响.
- 了解医学学生对老年患者护理的体验和反思至关重要.
研究的目的:
- 探讨医学生最后一年提供老年患者护理的经验.
- 确定老年护理的各个方面,学生发现有价值或令人丧.
- 为改善老年护理培训提供医疗教育策略的信息.
主要方法:
- 一个使用建设主义范式的定性研究.
- 半结构面试与16名医学研究生进行了半结构面试.
- 用一种描绘积极和消极经历的视觉叙事方法 ("丰富的图片") 来进行深入的采访,随后进行反射的主题分析.
主要成果:
- 三个关键主题出现了:感觉连接,见证人性和富有同情心的关怀,以及做出改变.
- 有价值的经历与人与人之间的联系,尊严,存在 (特别是在生命终点护理中) 和富有同情心的榜样有关.
- 令人丧的经历源于沟通不良,系统障碍和护理目标不清楚,导致无能和孤立的感觉.
结论:
- 照顾老年患者是一种富有情感的体验,与其他临床工作不同,需要耐心和亲近.
- 医学教育必须通过培养反思性实践,同行支持和监督,支持学生重视"治疗之外的护理".
- 重新定义"做出改变"的意义对于为学生准备复杂,慢性和终身护理场景至关重要.
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