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向牙科学生传授饮食失调知识:跨专业护理的认知与实践

Educating Dental Students About Eating Disorders: Perceptions and Practice of Interprofessional Care.

作者信息

Frimenko Katherine M, Murdoch-Kinch Carol Anne, Inglehart Marita R

机构信息

Dr. Frimenko is a General Practice Resident, The Ohio State University; Dr. Murdoch-Kinch is the Dr. Walter H. Swartz Professor of Integrated Special Care Dentistry, Associate Dean for Academic Affairs, and Clinical Professor of Dentistry, Department of Oral and Maxillofacial Surgery/Hospital Dentistry, University of Michigan School of Dentistry; and Dr. Inglehart is Professor, Department of Periodontics and Oral Medicine, School of Dentistry and Adjunct Professor, Department of Psychology, College of Literature, Science & Arts, University of Michigan.

出版信息

J Dent Educ. 2017 Nov;81(11):1327-1337. doi: 10.21815/JDE.017.090.

Abstract

Providing care for patients with eating disorders (EDs) requires an interprofessional care (IPC) approach. The aims of this study were to assess dental students' ED- and IPC-related educational experiences, perceptions of preparedness for ED-related communication with patients and providers, and attitudes related to an IPC approach to ED. Relationships among perceptions of education, preparedness, attitudes, and characteristics (e.g., year in program and family members in other health care fields) were also explored. Of the 440 University of Michigan students invited to participate, 339 completed the survey (77% response rate). A total of 257 students from another 21 dental schools completed the web-based survey, but their response rates could not be computed because it is unknown how many academic deans at the other 65 schools forwarded the recruitment email to their students. In the combined results, the students did not evaluate their ED- and IPC-related clinical education positively (mean=1.33 on scale from 1=least to 3=most education), with first-year students (D1) reporting the least and fourth-year students (D4) the most educational experiences (D1: 1.08, D2: 1.16, D3: 1.42, D4: 1.59; p<0.001). While the students did not perceive themselves well prepared to talk with patients about mental health/ED, they reported feeling better prepared for IPC-related communication: on scale from 1=least to 5=most prepared, mean (patient)=2.94 vs. mean (IPC/provider)=3.61; p<0.001. All the students had mean positive attitudes towards dental professionals' ED-related responsibilities and related IPC considerations. The more education these students reported, the more prepared they perceived being and the more positive their attitudes. The more family members in health professions the students had, the better prepared they reported feeling to communicate with patients and providers from other disciplines about EDs. However, the finding that even the fourth-year students did not evaluate their ED- and IPC-related clinical education positively deserves attention. Educating students about EDs with an IPC approach could ensure better professional preparedness in this context.

摘要

为饮食失调(ED)患者提供护理需要采用跨专业护理(IPC)方法。本研究的目的是评估牙科学生与ED和IPC相关的教育经历、对与患者及医疗服务提供者进行ED相关沟通的准备程度的认知,以及对采用IPC方法治疗ED的态度。还探讨了教育认知、准备程度、态度和特征(如所在年级和其他医疗保健领域的家庭成员)之间的关系。在受邀参与的440名密歇根大学学生中,339名完成了调查(回复率77%)。另外21所牙科学院的257名学生完成了基于网络的调查,但由于不知道其他65所学校中有多少学术院长将招募邮件转发给了他们的学生,所以无法计算他们的回复率。综合结果显示,学生对与ED和IPC相关的临床教育评价不高(评分范围为1 = 最少到3 = 最多教育,平均分为1.33),一年级学生(D1)的教育经历最少,四年级学生(D4)的教育经历最多(D1:1.08,D2:1.16,D3:1.42,D4:1.59;p < 0.001)。虽然学生认为自己没有做好与患者谈论心理健康/ED的准备,但他们表示对与IPC相关的沟通准备得更好:评分范围为1 = 最少到5 = 最有准备,平均(与患者沟通)= 2.94,而平均(与IPC/医疗服务提供者沟通)= 3.61;p < 0.001。所有学生对牙科专业人员与ED相关的责任及相关IPC考量持积极态度。这些学生报告的教育越多,他们认为自己准备得越充分,态度也越积极。学生在医疗行业的家庭成员越多,他们报告的与其他学科的患者及医疗服务提供者就ED进行沟通的准备就越好。然而,即使是四年级学生对与ED和IPC相关的临床教育评价也不高这一发现值得关注。在这种情况下,采用IPC方法对学生进行ED教育可以确保更好的专业准备。

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