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呼唤值班医生:跨专业培训病房中对学生学习情况的研究

Call the On-Call: a study of student learning on an interprofessional training ward.

机构信息

Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet.

Department of Clinical Science and Education, Södersjukhuset, Stockholm.

出版信息

J Interprof Care. 2021 Mar-Apr;35(2):275-283. doi: 10.1080/13561820.2020.1725452. Epub 2020 Feb 27.

Abstract

Interprofessional training wards are designed to train students' team and communication competences. Such wards are generally highly valued clinical placements by undergraduate students; however, evidence in the literature suggests that medical students experience a lack of profession-specific tasks on these wards. Moreover, students lack structured training in the complexities of everyday communication where different health professions rarely are present together in stable teams. This paper reviews one strategy to train students in interprofessional communication while letting students perform profession-specific tasks. A qualitative study with ethnographically-collected data was conducted among three interprofessional student teams over three two-week periods, mixing field observations (75 h), interviews (n = 16), and field notes (45 pages). The findings show that students gained insights into new aspects of their professional roles and an appreciation of clear and open interprofessional communication over the telephone. Learning was facilitated through being confronted with new situations and discussing these experiences with each other over time. Call the On-Call as a pedagogic activity provided not just medical students, but also nursing students with new types of profession-specific tasks on the interprofessional training ward.

摘要

跨专业培训病房旨在培养学生的团队合作和沟通能力。这种病房通常是本科生非常重视的临床实习场所;然而,文献中的证据表明,医学生在这些病房中缺乏特定专业的任务。此外,学生在日常沟通的复杂性方面缺乏结构化的培训,而不同的卫生专业人员很少稳定地一起出现在团队中。本文回顾了一种在让学生完成特定专业任务的同时培养学生跨专业沟通能力的策略。一项在三个跨专业学生团队中进行的为期三个两周的定性研究,结合了田野观察(75 小时)、访谈(n=16)和田野笔记(45 页)。研究结果表明,学生对自己专业角色的新方面有了深入的了解,并认识到通过电话进行清晰、开放的跨专业沟通的重要性。通过面对新情况并随着时间的推移相互讨论这些经验,促进了学习。将值班作为一种教学活动,不仅为医学生,也为护理学生提供了跨专业培训病房中特定专业的新任务类型。

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