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智利医学生的家庭护理学习模式:一项混合方法研究。

Home care learning model for medical students in chile: a mixed methods study.

作者信息

Garcia-Huidobro Diego, Rivera Solange, Gonzalez Carolina

机构信息

Department of Family Medicine, School of Medicine, Pontificia Universidad Catolica de Chile, Vicuña Mackenna 4686, Macul, Santiago, Chile.

出版信息

ISRN Family Med. 2014 Jan 16;2014:631732. doi: 10.1155/2014/631732. eCollection 2014.

DOI:10.1155/2014/631732
PMID:24967327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4041262/
Abstract

Introduction. The relevance of home care training is not questioned. However, there are no reported learning models to teach in this setting. Aims. To develop and evaluate a learning model to teach home care to medical students. Methods. Stage 1: Learning Model Design. Tutors teaching home care and a sample of medical students were invited to focus groups analyzed according to the grounded theory. Later, the researchers designed the learning model, which was approved by all participants. Stage 2: Learning Assessment. All students in their family medicine internship at Pontificia Universidad Catolica de Chile were invited to participate in a nonrandomized before-and-after pilot trial, assessing changes in their perception towards home care and satisfaction with the learning model. Results. Stage 1: Six tutors and eight students participated in the focus groups. The learning model includes activities before, during, and after the visits. Stage 2: 105 students (88.2%) participated. We observed improvement in all home care training domains (P ≤ 0.001) and a high satisfaction with the model. Students with previous home visit experiences and who participated with nurses and social workers reported more learning. Conclusions. We report an effective learning model to train medical students in home care. Limitations and recommendations for future studies are discussed.

摘要

引言。家庭护理培训的相关性毋庸置疑。然而,目前尚无在这种环境下进行教学的学习模式报道。目的。开发并评估一种向医学生传授家庭护理知识的学习模式。方法。第一阶段:学习模式设计。邀请讲授家庭护理的教师和部分医学生参加焦点小组讨论,并根据扎根理论进行分析。随后,研究人员设计出学习模式,该模式得到了所有参与者的认可。第二阶段:学习评估。邀请智利天主教大学所有参加家庭医学实习的学生参与一项非随机前后对照试验,评估他们对家庭护理的认知变化以及对学习模式的满意度。结果。第一阶段:6名教师和8名学生参加了焦点小组讨论。学习模式包括家访前、家访期间和家访后的活动。第二阶段:105名学生(88.2%)参与其中。我们观察到在家庭护理培训的各个领域均有改善(P≤0.001),并且学生对该模式高度满意。有过家访经历以及与护士和社会工作者一起参与的学生报告称学到了更多知识。结论。我们报告了一种有效的学习模式,用于培训医学生的家庭护理知识。文中还讨论了该研究的局限性以及对未来研究的建议。

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本文引用的文献

1
Learning together to work together: interprofessional education for students in a primary care setting in chile.共同学习,携手合作:智利基层医疗环境中面向学生的跨专业教育。
Fam Med. 2013 Apr;45(4):272-5.
2
No place like home: teaching home visits.没有比家更好的地方:家访教学。
Med Educ. 2009 Nov;43(11):1102-3. doi: 10.1111/j.1365-2923.2009.03487.x. Epub 2009 Oct 3.
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The educational impact of home care in community medicine training in a Japanese medical residency program.日本住院医师培训项目中家庭护理在社区医学培训中的教育影响。
Hokkaido Igaku Zasshi. 2009 Jul;84(4):251-6.
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The home visit experience: a medical student's perspective.家访经历:一名医学生的视角
Care Manag J. 2007;8(4):206-10. doi: 10.1891/152109807782590628.
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What would a theory of interprofessional education look like? Some suggestions for developing a theoretical framework for teamwork training 1.跨专业教育理论会是什么样的?关于构建团队合作培训理论框架的一些建议1。
J Interprof Care. 2006 Dec;20(6):577-89. doi: 10.1080/13561820600916717.
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Clinical undergraduate training and assessment in primary health care: experiences gained from Crete, Greece.初级卫生保健中的临床本科培训与评估:来自希腊克里特岛的经验
BMC Med Educ. 2005 May 9;5(1):13. doi: 10.1186/1472-6920-5-13.
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The determinants of attitudinal change among medical students participating in home care training: a multi-center study.参与家庭护理培训的医学生态度转变的决定因素:一项多中心研究。
Acad Med. 2002 Apr;77(4):336-43. doi: 10.1097/00001888-200204000-00017.
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Validation of an instrument designed to assess medical student attitudes toward home care.一种旨在评估医学生对家庭护理态度的工具的验证
J Am Geriatr Soc. 2001 Apr;49(4):470-3. doi: 10.1046/j.1532-5415.2001.49091.x.
9
Home care--the time to teach about it is now.居家护理——现在是传授相关知识的时候了。
Acad Med. 1998 Sep;73(9):928-30. doi: 10.1097/00001888-199809000-00007.
10
Curriculum recommendations for resident training in home care.居家护理住院医师培训课程建议。
J Am Geriatr Soc. 1998 Jul;46(7):910-2. doi: 10.1111/j.1532-5415.1998.tb02728.x.