应届医学生能否为患者护理做出重大贡献？一项关于患者和临床医护人员看法的初步研究。

Can final year medical students significantly contribute to patient care? A pilot study about the perception of patients and clinical staff.

机构信息

Integrated Curriculum for Anthroposophic Medicine, University of Witten/Herdecke, Witten, Germany.

出版信息

Med Teach. 2010;32(7):552-7. doi: 10.3109/01421590903437170.

DOI:10.3109/01421590903437170

PMID:20653376

Abstract

BACKGROUND

Active participation of medical students in patient care has been shown to be important for professional development of learners. Not much is known about the impact of active student participation (ASP) to the quality of patient care.

AIMS

We established a Clinical Education Ward (CEW) for the final year medical students caring for patients under structured clinical supervision. This study investigates the views of both patients and clinical staff on the impact of ASP on patient care.

METHODS

The Picker Inpatient Questionnaire (PIQ) was used to survey all the patients admitted to the CEW during the pilot phase. Results concerning the general quality of health care and the patient-physician relationship (PPR) were compared to two matched pair control groups: patients of the same department (CG1) and of internal wards in Germany (CG2). In addition, quantitative and qualitative data were collected from patients and clinical staff members to specify the impact of students on patient care.

RESULTS

Out of 111 patients, 64 responded. The PIQ results revealed very minor problems in the assessment of the overall general quality of care and in PPR at the CEW, while significant improvements existed when compared to CG2. Furthermore, 79% of the patients and 95% of the staff members recorded a positive impact of ASP. Qualitative data illustrated and complemented these results. Chances and challenges in programs with high participation of students in clinical care are discussed.

CONCLUSION

ASP may not only be useful for learners but also offers chances and benefits for patient care.

摘要

背景

医学学生积极参与患者护理已被证明对学习者的专业发展很重要。但对于积极学生参与（ASP）对患者护理质量的影响，我们知之甚少。

目的

我们为最后一年的医学生设立了一个临床教育病房（CEW），让他们在结构化的临床监督下照顾患者。本研究调查了患者和临床工作人员对 ASP 对患者护理影响的看法。

方法

使用 Picker 住院患者问卷（PIQ）调查了试点阶段入住 CEW 的所有患者。关于一般医疗保健质量和医患关系（PPR）的结果与两个匹配的对照组进行了比较：同一科室的患者（CG1）和德国内科病房的患者（CG2）。此外，从患者和临床工作人员那里收集了定量和定性数据，以具体说明学生对患者护理的影响。

结果

在 111 名患者中，有 64 名做出了回应。PIQ 结果显示，CEW 在评估整体一般护理质量和 PPR 方面存在很小的问题，而与 CG2 相比，这些问题有了显著改善。此外，79%的患者和 95%的工作人员记录到 ASP 产生了积极影响。定性数据说明了这些结果，并对其进行了补充。讨论了在学生高参与度的临床护理项目中存在的机会和挑战。