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精神科患者对学生参与其护理的看法。

Psychiatric patients' perspectives of student involvement in their care.

作者信息

Öster Caisa, Bäckström Susan, Lantz Ingrid, Ramklint Mia

机构信息

Department of Neuroscience Psychiatry, Uppsala University, Uppsala, SE-751 85, Sweden.

出版信息

BMC Med Educ. 2015 Apr 3;15:69. doi: 10.1186/s12909-015-0352-z.

DOI:10.1186/s12909-015-0352-z
PMID:25879902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4393592/
Abstract

BACKGROUND

In the education of professionals in psychiatry, one challenge is to provide clinical placements with opportunities for students to interact and have direct contact with patients. The aim of this study was to explore Swedish psychiatric patients' perspectives on student participation in their care.

METHOD

In a cross-sectional survey design, 655 adult psychiatric patients at a university hospital completed questionnaires. These questionnaires included statements about student involvement, student gender, attitudes towards student participation as well as two open-ended questions. Data were analyzed quantitatively and qualitatively.

RESULTS

The majority of the patients were comfortable with student participation. There were no differences between patients in wards compared to outpatients but patients who previously had students involved in their care reported higher comfort levels and a more positive attitude. Female patients were less comfortable with male students and very young students. Patients stressed the importance of being informed about the opportunity to refuse student participation. More detailed information given before the consultation as well as the importance of the student showing a professional attitude was conditions that could enable more patients to endorse student participation.

CONCLUSION

The psychiatric patients' overall positive attitudes are in line with previous findings from other specialties and countries. The results support both altruistic motives and experience of personal gains by student involvement. More detailed information given beforehand would enable more patients to consider student participation.

摘要

背景

在精神病学专业人员的教育中,一个挑战是为临床实习提供机会,让学生与患者互动并直接接触。本研究的目的是探讨瑞典精神病患者对学生参与其护理的看法。

方法

在一项横断面调查设计中,一所大学医院的655名成年精神病患者完成了问卷调查。这些问卷包括关于学生参与、学生性别、对学生参与的态度的陈述以及两个开放式问题。对数据进行了定量和定性分析。

结果

大多数患者对学生参与感到满意。与门诊患者相比,病房患者之间没有差异,但之前有学生参与其护理的患者报告了更高的满意度和更积极的态度。女性患者对男学生和非常年轻的学生不太满意。患者强调了被告知拒绝学生参与机会的重要性。在咨询前提供更详细的信息以及学生表现出专业态度的重要性是能够使更多患者认可学生参与的条件。

结论

精神病患者的总体积极态度与其他专业和国家之前的研究结果一致。这些结果支持了学生参与的利他动机和个人收获体验。事先提供更详细的信息将使更多患者考虑学生参与。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f25/4393592/e62f28d51288/12909_2015_352_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f25/4393592/e62f28d51288/12909_2015_352_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f25/4393592/e62f28d51288/12909_2015_352_Fig1_HTML.jpg

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The transition to a teaching hospital: patient satisfaction before and after the introduction of medical students.向教学医院的转变:医学生引入前后的患者满意度
Med Teach. 2014 Aug;36(8):710-4. doi: 10.3109/0142159X.2014.907877. Epub 2014 May 6.
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Patient perceptions of having 1st- and 2nd-year medical students involved in their care.
精神疾病患者与医学生互动的体验:系统评价。
Can J Psychiatry. 2018 Jan;63(1):4-11. doi: 10.1177/0706743717730824. Epub 2017 Dec 4.
患者对 1 年级和 2 年级医学生参与其治疗的看法。
Teach Learn Med. 2014;26(2):164-7. doi: 10.1080/10401334.2014.883988.
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Prevalence of experiences of domestic violence among psychiatric patients: systematic review.精神科患者遭受家庭暴力经历的发生率:系统评价。
Br J Psychiatry. 2013 Feb;202:94-9. doi: 10.1192/bjp.bp.112.109934.
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The ObGyn clerkship: are students denied the opportunity to provide patient care and what is the role of gender?妇产科临床实习:学生是否被剥夺了提供患者护理的机会,性别又起到了什么作用?
Conn Med. 2012 Apr;76(4):231-6.
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