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一种平衡行为:对医学生在临床环境中使用移动设备经历的现象学探索。

A balancing act: a phenomenological exploration of medical students' experiences of using mobile devices in the clinical setting.

作者信息

Rashid-Doubell F, Mohamed S, Elmusharaf K, O'Neill C S

机构信息

Royal College of Surgeons in Ireland-Bahrain, Busaiteen, Kingdom of Bahrain School of Medicine, RCSI-Bahrain.

Royal College of Surgeons in Ireland-Bahrain, Busaiteen, Kingdom of Bahrain School of Postgraduate Studies and Research, RCSI-Bahrain.

出版信息

BMJ Open. 2016 May 3;6(5):e011896. doi: 10.1136/bmjopen-2016-011896.

Abstract

OBJECTIVE

The aims of this study were to describe the experiences of senior students using mobile devices in a clinical setting while learning and interacting with clinical teachers, patients and each other, and to identify challenges that facilitated or impeded the use of such devices in the hospital.

DESIGN

Interpretative phenomenology was chosen to guide our enquiry. Semi-structured interviews were conducted to examine the experiences of five senior medical students using mobile devices in the clinical setting.

SETTING AND PARTICIPANTS

Senior medical students at an international medical school in the Middle East.

RESULTS

Three main themes emerged from the data analysis: learning; professional identity and transitioning from student to doctor. The findings showed that using mobile devices in the clinical area as a learning tool was not a formalised process. Rather, it was opportunistic learning at the bedside and on occasion a source of distraction from clinical teaching. Students needed to negotiate relationships between themselves, the clinical teacher and patients in order to ensure that they maintained an acceptable professional image. Participants experienced and negotiated the change from student to doctor making them mindful of using their devices at the bedside.

CONCLUSIONS

Mobile devices are part of daily life for a medical student and there is a need to adapt medical education in the clinical setting, to allow the students to use their devices in a sensitive manner.

摘要

目的

本研究旨在描述高年级学生在临床环境中使用移动设备学习并与临床教师、患者及彼此互动的经历,并确定在医院中促进或阻碍此类设备使用的挑战。

设计

选择解释性现象学来指导我们的调查。进行了半结构化访谈,以考察五名高年级医学生在临床环境中使用移动设备的经历。

背景与参与者

中东一所国际医学院的高年级医学生。

结果

数据分析得出三个主要主题:学习;职业身份以及从学生向医生的转变。研究结果表明,在临床区域将移动设备用作学习工具并非一个形式化的过程。相反,这是一种床边的机会主义学习,有时还会分散临床教学的注意力。学生需要协调自己与临床教师及患者之间的关系,以确保保持可接受的专业形象。参与者体验并经历了从学生到医生的转变,这使他们在床边使用设备时更加谨慎。

结论

移动设备是医学生日常生活的一部分,有必要在临床环境中调整医学教育,以使学生能够以一种谨慎的方式使用他们的设备。

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