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医学生准备进行跨专业学习与同理心、动机和专业认同发展的关系。

The Association of Readiness for Interprofessional Learning with empathy, motivation and professional identity development in medical students.

机构信息

VUmc School of Medical Sciences & VUmc Amstel Academy, VU University Medical Center, Postbus 7057, 1007, MB, Amsterdam, the Netherlands.

Department of Epidemiology & Biostatistics, Decision Modeling Center, VU University Medical Center, Amsterdam, the Netherlands.

出版信息

BMC Med Educ. 2018 Jun 7;18(1):125. doi: 10.1186/s12909-018-1248-5.

Abstract

BACKGROUND

The Readiness for Interprofessional Learning Scale is among the first scales developed for measurement of attitude towards interprofessional learning (IPL). However, the conceptual framework of the RIPLS still lacks clarity. We investigated the association of the RIPLS with professional identity, empathy and motivation, with the intention of relating RIPLS to other well-known concepts in healthcare education, in an attempt to clarify the concept of readiness.

METHODS

Readiness for interprofessional learning, professional identity development, empathy and motivation of students for medical school, were measured in all 6 years of the medical curriculum. The association of professional identity development, empathy and motivation with readiness was analyzed using linear regression.

RESULTS

Empathy and motivation significantly explained the variance in RIPLS subscale Teamwork & Collaboration. Gender and belonging to the first study year had a unique positive contribution in explaining the variance of the RIPLS subscales Positive and Negative Professional Identity, whereas motivation had no contribution. More compassionate care, as an affective component of empathy, seemed to diminish readiness for IPL. Professional Identity, measured as affirmation or denial of the identification with a professional group, had no contribution in the explanation of the variance in readiness.

CONCLUSIONS

The RIPLS is a suboptimal instrument, which does not clarify the 'what' and 'how' of IPL in a curriculum. This study suggests that students' readiness for IPE may benefit from a combination with the cognitive component of empathy ('Perspective taking') and elements in the curriculum that promote autonomous motivation.

摘要

背景

参与式学习准备量表是首批用于测量对参与式学习(IPE)态度的量表之一。然而,IPE 准备量表的概念框架仍不够清晰。我们研究了 RIPLS 与专业认同、同理心和动机的关系,旨在将 RIPLS 与医疗保健教育中其他知名概念联系起来,试图阐明准备的概念。

方法

在整个医学课程的 6 年中,对学生的参与式学习准备、专业认同发展、同理心和医学动机进行了测量。使用线性回归分析专业认同发展、同理心和动机与准备之间的关系。

结果

同理心和动机显著解释了 RIPLS 协作与团队合作分量表的差异。性别和属于第一学年对解释 RIPLS 积极和消极专业认同分量表的差异有独特的积极贡献,而动机没有贡献。更具同情心的关怀,作为同理心的情感成分,似乎降低了 IPL 的准备程度。作为对专业群体认同的肯定或否定的专业认同,在解释准备程度的差异方面没有贡献。

结论

RIPLS 是一种不理想的工具,它不能在课程中阐明 IPE 的“是什么”和“怎么做”。本研究表明,学生对 IPE 的准备可能受益于将同理心的认知成分(“观点采择”)和促进自主动机的课程元素相结合。

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