Siwe Karin, Wijma Barbro, Silén Charlotte, Berterö Carina
Department of Obstetrics and Gynaecology, University Hospital, Linköping, Sweden.
Patient Educ Couns. 2007 Dec;69(1-3):55-62. doi: 10.1016/j.pec.2007.07.002. Epub 2007 Aug 21.
To gain a deeper understanding of how female medical students perceive and experience performing their first pelvic examination (PE).
A qualitative study. In-depth interviews after the students' involvement in a learning session about the PE, with professional patients (PPs) as instructors and a gynaecologist as supervisor. The interviews were analysed according to the constant comparative method to acquire a deeper understanding of the students' experiences and the ongoing social processes.
"Transcending unspoken boundaries and taboos, a prerequisite for learning" was the essence of the entire material and was identified from two categories: "A didactic design facilitates the transition to examiner" and "Interactive support enables creative learning of interpersonal and palpation skills".
Through interactive guidance from the PPs, the students overcame affective obstacles and achieved the aim of becoming an examiner. The favourable learning experience heightened their awareness of their own bodies and promoted a deeper interest in PEs, both as examiners and as patients.
Engaging voluntary, healthy and knowledgeable women as instructors in the PE situation creates a safe learning environment and promotes interaction with students. Immediate feedback teaches students to integrate communicative and behavioural skills in a professional manner and to palpate the uterus.
更深入地了解女医学生如何看待和体验她们的首次盆腔检查(PE)。
一项定性研究。在学生参与关于盆腔检查的学习课程后进行深入访谈,由专业患者(PPs)担任教员,一名妇科医生担任督导。根据持续比较法对访谈进行分析,以更深入地了解学生的经历和正在进行的社会过程。
“跨越不言而喻的界限和禁忌,这是学习的先决条件”是全部资料的核心内容,可从两类中识别出来:“一种教学设计有助于向检查者的转变”和“互动支持能促进人际和触诊技能的创造性学习”。
通过专业患者的互动指导,学生克服了情感障碍,实现了成为检查者的目标。良好的学习体验提高了她们对自身身体的认知,并促进了她们作为检查者和患者对盆腔检查产生更浓厚的兴趣。
让自愿、健康且知识渊博的女性担任盆腔检查情境中的教员,可营造一个安全的学习环境,并促进与学生的互动。即时反馈教会学生以专业的方式整合沟通和行为技能,并触诊子宫。