Kaur Rajneesh, Razee Husna, Seale Holly
School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, New South Wales, Australia.
J Infect Prev. 2016 Jul;17(4):162-168. doi: 10.1177/1757177416645345. Epub 2016 May 6.
Poor hand hygiene (HH) practices among medical students have previously been attributed to students not being exposed to sufficient teaching materials during their training.
To develop and evaluate a teaching module directed at improving the knowledge and attitudes of undergraduate medical students towards HH.
The HH teaching module was designed based on educational materials used by the World Health Organization and other patient safety organisations. The development was also informed by the findings from two previous studies including qualitative interviews with staff and students and a survey of Australian medical schools. In-depth group interviews were undertaken with 24 undergraduate medical students.
Favourable feedback was received from the interviewed medical students towards the developed scenario-based learning activity; however, the group interview activity was not received well by students. They suggested that the HH teaching activities should be compulsory and not optional for medical students. In order to reinforce good HH practices and to improve knowledge around HH and healthcare-associated infections, they felt that the activities should be repeated during each phase of their degree.
There is a need to change the approach to training in education, particularly to engage students in topics such as HH which are often seen as unimportant.
医学生手部卫生(HH)习惯不佳,以前被认为是由于学生在培训期间没有接触到足够的教学材料。
开发并评估一个教学模块,旨在提高本科医学生对HH的知识和态度。
HH教学模块是根据世界卫生组织和其他患者安全组织使用的教育材料设计的。两项先前研究的结果也为该模块的开发提供了参考,这两项研究包括对工作人员和学生的定性访谈以及对澳大利亚医学院校的调查。对24名本科医学生进行了深入的小组访谈。
受访医学生对开发的基于情景的学习活动给予了积极反馈;然而,小组访谈活动未得到学生的好评。他们建议HH教学活动对医学生应该是强制性的而非选修的。为了强化良好的HH习惯并提高对HH和医疗保健相关感染的认识,他们认为这些活动应该在学位课程的每个阶段重复进行。
有必要改变教育中的培训方法,特别是要让学生参与到诸如HH等通常被视为不重要的主题中。