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学生社区卫生服务提供:相关各方的经验

Students' community health service delivery: experiences of involved parties.

作者信息

Greeff M, van der Walt E, Strydom C, Wessels C, Schutte P J

机构信息

Africa Unit for Transdisciplinary Health Research (AUTHeR), Potchefstroom Campus of the NorthWest University, Potchefstroom.

出版信息

Curationis. 2009 Mar;32(1):33-44.

Abstract

For several years the School of Nursing Science and the School of Psychosocial Behavioural Science, of a specific university, have been offering health care services in response to some of the health needs of a disadvantaged community as part of their students' experiential learning. However, these health care services were rendered independently by these two schools, implying that no feedback system existed to evaluate the worth and quality of these student-rendered health care services. The objectives of this research were to explore and describe the experiences of senior nursing and social work students, the experiences of health service delivery organisations concerned and the experiences of the disadvantaged community members receiving such health care services, as well as to investigate which communication models were apparent with regard to the major factors within health communication. An exploratory descriptive qualitative research design was used. Focus group discussions were held, interviews were conducted and field notes taken. Focus group discussions and interviews were transcribed and analysed by the research team to determine themes and sub-themes using the open coding technique. The results of the three groups showed similarities. The health service delivery organisations also identified a communication barrier, although the students were prepared to bridge it. The health service delivery organisations and the community felt positive towards the students and what they offered to the organisations and to the patients. A greater need for multi-disciplinary team work was recognised by al parties concerned. Recommendations focus on improved student accompaniment by lecturers; extending health care delivery to include a multi-disciplinary team approach by students; as well as improving the delivery of health care services.

摘要

几年来,某所大学的护理科学学院和社会心理行为科学学院一直在提供医疗保健服务,以满足弱势社区的一些健康需求,作为其学生体验式学习的一部分。然而,这两项医疗保健服务是由这两个学院独立提供的,这意味着不存在评估这些由学生提供的医疗保健服务的价值和质量的反馈系统。本研究的目的是探索和描述高级护理和社会工作专业学生的经历、相关医疗服务提供组织的经历以及接受此类医疗保健服务的弱势社区成员的经历,并调查在健康传播的主要因素方面明显存在哪些传播模式。采用了探索性描述性定性研究设计。进行了焦点小组讨论、访谈并做了实地记录。研究团队对焦点小组讨论和访谈进行了转录和分析,使用开放编码技术确定主题和子主题。三组的结果显示出相似之处。医疗服务提供组织也发现了一个沟通障碍,尽管学生们准备消除它。医疗服务提供组织和社区对学生以及他们为组织和患者提供的服务持积极态度。所有相关方都认识到对多学科团队合作的更大需求。建议集中在讲师加强对学生的指导;将医疗保健服务扩展为包括学生采用多学科团队方法;以及改善医疗保健服务的提供。

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