1 Hull York Medical School, University of Hull , Hull, United Kingdom .
J Palliat Med. 2013 Sep;16(9):1125-9. doi: 10.1089/jpm.2013.0036. Epub 2013 Aug 12.
End-of-life care has become a priority in medical education internationally. A previous study of hospice patients and staff regarding medical students teaching in a hospice showed positive responses from patients and hospice staff. However concern was expressed by some staff regarding medical students' welfare, contributing to gatekeeping by professionals. Studies have shown that medical students feel underprepared to care for the dying by the time they qualify.
The study's objective was to explore in more detail the views and experience of medical students who had spoken with patients during their hospice placement.
This was a qualitative study.
SETTING/SUBJECTS: The study was carried out with 14 Hull York Medical School (HYMS) students who had responded in an electronic survey that they had spoken with patients during their hospice placement.
Semistructured interviews provided the study's data.
Although students expressed some anxieties prior to their hospice visit about meeting patients who were near the end of life, they felt that the overall experience, and the time spent with patients in particular, provided valuable learning about palliative care and preparation for caring for dying patients.
We would encourage staff to not be overprotective but to support students to take every opportunity to meet with patients in a hospice.
临终关怀已成为国际医学教育的重点。先前一项针对临终关怀患者和工作人员的研究表明,患者和临终关怀工作人员对医学生在临终关怀中教学持积极态度。然而,一些工作人员对医学生的福利表示担忧,这导致了专业人士的把关。研究表明,医学生在获得资格时,已经感到自己对照顾临终患者准备不足。
本研究的目的是更详细地探讨在临终关怀实习期间与患者交谈过的医学生的观点和经验。
这是一项定性研究。
地点/对象:该研究在 14 名赫尔约克医学院(HYMS)的学生中进行,他们在电子调查中回应说,他们在临终关怀实习期间与患者交谈过。
半结构化访谈提供了研究数据。
尽管学生在临终关怀访问之前对与接近生命终点的患者会面表示有些焦虑,但他们认为整体体验,特别是与患者共度的时间,为姑息治疗和为照顾临终患者做准备提供了宝贵的学习机会。
我们鼓励工作人员不要过于保护,而是支持学生抓住每一个机会在临终关怀中与患者见面。