Kelly T, Surjan Y, Rinks M, Beech J, Warren-Forward H M
Illawarra Shoalhaven Local Health District, NSW Health, Australia; School of Health Sciences, University of Newcastle, Australia.
School of Health Sciences, University of Newcastle, Australia.
Radiography (Lond). 2019 Nov;25(4):320-326. doi: 10.1016/j.radi.2019.02.012. Epub 2019 Mar 15.
Radiation therapy students need to demonstrate appropriate communication skills when entering the clinical environment. To assist students with preparation for their first clinical placement a clinical reasoning module comprising theory and practical sessions was developed. This paper describes the module and presents the results of student evaluations.
The module consisted of lectures, observational role-play and participatory role-play. Students were ultimately tasked with providing information to a simulated patient (SP). Each student received feedback independently from the SP, peers and facilitator. At the conclusion of the module, students had the opportunity to provide feedback via an anonymous survey (8 Likert scale questions with space for written comment). Data was analysed both quantitatively and qualitatively.
Four hundred and thirty seven students were enrolled in the course between 2008 and 2016 and the response rate of the survey was 93%. Even though most students reported some level of anxiety before and during the role-play sessions, the majority of students perceived all aspects of the module to be extremely/very useful. The most useful aspect of the module (Likert scale assessment) was the feedback provided by the SP. The two most important themes arising from the thematic analysis were gaining an understanding of the role of the radiation therapist and the complexities of patient interactions.
Overall, the module was deemed successful with students becoming conscious of newly acquired clinical knowledge whilst acknowledging patient feelings during interactions. Collaborative critiquing contributed to students' ability to self-reflect to improve clinical interactions.
放射治疗专业的学生在进入临床环境时需要展示出适当的沟通技巧。为帮助学生为首次临床实习做好准备,开发了一个包含理论和实践课程的临床推理模块。本文介绍了该模块并展示了学生评估结果。
该模块包括讲座、观察性角色扮演和参与性角色扮演。学生最终的任务是向模拟患者(SP)提供信息。每个学生独立收到来自SP、同伴和指导教师的反馈。在模块结束时,学生有机会通过匿名调查提供反馈(8个李克特量表问题,并留有书面评论空间)。对数据进行了定量和定性分析。
2008年至2016年期间,共有437名学生参加了该课程,调查回复率为93%。尽管大多数学生在角色扮演课程之前和期间都报告有一定程度的焦虑,但大多数学生认为该模块的各个方面都极其/非常有用。该模块最有用的方面(李克特量表评估)是SP提供的反馈。主题分析中出现的两个最重要的主题是了解放射治疗师的角色以及患者互动的复杂性。
总体而言,该模块被认为是成功的,学生在意识到新获得的临床知识的同时,也能在互动中认识到患者的感受。协作式批评有助于学生自我反思,以改善临床互动。