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注册护士课程中的智力残疾内容:如何教授?

Intellectual disability content within pre-registration nursing curriculum: How is it taught?

机构信息

Department of Developmental Disability Neuropsychiatry (3DN), School of Psychiatry, UNSW Sydney, 34 Botany Street, Randwick, NSW 2052, Australia.

Department of Developmental Disability Neuropsychiatry (3DN), School of Psychiatry, UNSW Sydney, 34 Botany Street, Randwick, NSW 2052, Australia.

出版信息

Nurse Educ Today. 2018 Oct;69:48-52. doi: 10.1016/j.nedt.2018.07.002. Epub 2018 Jul 7.

Abstract

BACKGROUND

Despite experiencing higher rates of physical and mental health conditions compared with the general population, people with intellectual disability face inequitable access to healthcare services. Improving education of healthcare professionals is one way to reduce these inequalities.

OBJECTIVE

To determine how intellectual disability content is taught within Australian nursing schools.

DESIGN

A two-phase audit of Australian nursing curricula content was conducted using an interview and online survey.

SETTING

Nursing schools Australia-wide providing pre-registration courses.

PARTICIPANTS

For Phase 1, course coordinators from 31 nursing schools completed an interview on course structure. Teaching staff from 15 schools in which intellectual disability content was identified completed an online survey for Phase 2.

METHODS

Methods used to teach intellectual disability content and who taught the content were audited using an online survey.

RESULTS

Across the 15 schools offering intellectual disability content, lectures were the most common teaching method (82% of units), followed by tutorials (59%), workshops (26%), then other methods (e.g. e-learning; 12%). Approximately three-quarters of intellectual disability teaching used some problem-and/or enquiry-based learning. Only one nursing school involved a person with intellectual disability in delivering teaching content. Six (19%) participating schools identified staff who specialise in intellectual disability, and seven (23%) identified staff with a declared interest in the area.

CONCLUSION

While some nursing schools are using diverse methods to teach intellectual disability content, many are not; as a result, nursing students may miss out on acquiring the attributes which enable them to address the significant health inequalities faced by this group. A specific deficit was identified relating to inclusive teaching and clinical contact with people with intellectual disability.

摘要

背景

与普通人群相比,智力残疾人经历身心障碍的比率更高,但他们获得医疗保健服务的机会却不平等。提高医疗保健专业人员的教育水平是减少这些不平等的一种方法。

目的

确定澳大利亚护理学校中教授智力残疾内容的情况。

设计

使用访谈和在线调查对澳大利亚护理课程内容进行了两阶段审核。

设置

在全国范围内提供注册前课程的护理学校。

参与者

在第一阶段,来自 31 所护理学校的课程协调员完成了关于课程结构的访谈。在确定了智力残疾内容的 15 所学校中,有 15 名教学人员完成了第二阶段的在线调查。

方法

使用在线调查审核教授智力残疾内容的方法和教授内容的人员。

结果

在提供智力残疾内容的 15 所学校中,讲座是最常见的教学方法(82%的单元),其次是辅导(59%)、研讨会(26%),然后是其他方法(例如电子学习;12%)。大约四分之三的智力残疾教学使用了一些基于问题和/或探究的学习。只有一所护理学校让一名智力残疾人参与教学内容。有 6 所(19%)参与的学校确定了专门从事智力残疾领域的工作人员,有 7 所(23%)确定了对该领域有兴趣的工作人员。

结论

虽然一些护理学校正在使用多种方法教授智力残疾内容,但许多学校并未这样做;因此,护理学生可能会错过获得能够解决该群体面临的重大健康不平等问题的属性的机会。发现一个具体的缺陷是与包容性教学和与智力残疾人的临床接触有关。

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