Manchaiah Vinaya, Tomé David, Dockens Ashley L, Harn Monica, Ganesan Purushothaman
Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX.
The Swedish Institute for Disability Research, Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
J Am Acad Audiol. 2016 Nov/Dec;27(10):816-823. doi: 10.3766/jaaa.15129.
In health care, the model of patient-centered care is growing; and improved outcomes have been linked to patient-centeredness. Practicing audiologists have been found to strongly prefer a patient-centered approach as years in practice increase. It is unknown whether patient-centeredness begins during education and training.
The current study was aimed at understanding the preference to patient-centeredness in undergraduate audiology students in Portugal.
The study used a cross-sectional survey design.
One hundred and thirty-seven undergraduate audiology students completed patient-practitioner orientation scale (PPOS) and provided some demographic details.
The data were analyzed using one-way analysis of variance and one-sample t tests.
A significant difference was found for sharing subscale (p ≤ 0.001), caring subscale (p = 0.033), and the PPOS full scale (p ≤ 0.001) among different undergraduate groups. Further, post hoc tests showed that the difference between year 1 and with years 2, 3, and 4 were significant for sharing subscale and PPOS full scale, but not for caring subscale. No significant differences were observed among the years 2, 3, and 4 for sharing subscale, caring subscale, and for PPOS full scale. When compared audiologists' preferences from a previous study on audiologists with students' preferences in the current study, significant difference for both subscales and full scale was found between year 1 students and audiologists (p ≤ 0.001), with higher preference to patient-centeredness was reported by qualified audiologists. Also, significant difference was found between audiologists and overall undergraduate group for caring subscale (p = 0.001).
The current study suggests that audiology education influences preference to patient-centeredness. Within a year of undergraduate coursework, students tend to develop high preference to patient-centeredness, which stays stable during four years of undergraduate studies. These results provide useful insights to audiology education and training, particularly in the context of audiological rehabilitation.
在医疗保健领域,以患者为中心的护理模式正在不断发展;改善的治疗效果与以患者为中心相关联。研究发现,随着从业年限的增加,执业听力学家强烈倾向于采用以患者为中心的方法。目前尚不清楚以患者为中心的理念是否始于教育和培训阶段。
本研究旨在了解葡萄牙本科听力专业学生对以患者为中心理念的偏好。
本研究采用横断面调查设计。
137名本科听力专业学生完成了医患导向量表(PPOS)并提供了一些人口统计学细节。
使用单因素方差分析和单样本t检验对数据进行分析。
不同本科组在分享子量表(p≤0.001)、关怀子量表(p = 0.033)和PPOS总量表(p≤0.001)上存在显著差异。此外,事后检验表明,一年级与二、三、四年级在分享子量表和PPOS总量表上存在显著差异,但在关怀子量表上无显著差异。二、三、四年级在分享子量表、关怀子量表和PPOS总量表上未观察到显著差异。将本研究中听力专业学生的偏好与之前一项关于听力学家的研究中听力学家的偏好进行比较时,发现一年级学生与听力学家在两个子量表和总量表上均存在显著差异(p≤0.001),合格听力学家对以患者为中心的偏好更高。此外,在关怀子量表上,听力学家与整个本科组之间也存在显著差异(p = 0.001)。
本研究表明,听力学教育会影响对以患者为中心理念的偏好。在本科课程学习的一年内,学生倾向于对以患者为中心产生较高的偏好,并且在本科四年学习期间保持稳定。这些结果为听力学教育和培训提供了有用的见解,特别是在听力学康复的背景下。