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在护理、助产和法律专业学生中开展基于医疗保健法律与伦理情景的跨专业教育(IPE)学习课程:一项评估。

The use of inter-professional education (IPE) healthcare law and ethics scenario based learning sessions amongst nursing, midwifery and law students: An evaluation.

作者信息

Nichols Andy, Trimble Pippa, Stebbings Andrea

机构信息

Faculty of Health & Human Sciences, University of Plymouth, 3 Portland Villas, Drake Circus, Plymouth, Devon PL4 8AA, UK.

Room 18, 20 Portland Villas, School of Law, Criminology and Government, Plymouth University, Drake Circus, Plymouth PL4 8AA, UK.

出版信息

Nurse Educ Today. 2020 Aug;91:104455. doi: 10.1016/j.nedt.2020.104455. Epub 2020 May 7.

Abstract

BACKGROUND

Litigation and disciplinary action taken by the Nursing and Midwifery Council (NMC) against nurses' remains a concern with costs of claims against the NHS increasing by 72% over the five years up to 2015/16 with almost £1.5 billion spent in one year alone. Additionally, 5476 referrals regarding registrants' fitness to practice were made to the NMC in 2016-2017. The aims of this paper are to discuss how a pair of scenario based IPE sessions focussed on healthcare law and ethical topics were introduced as an addition to the existing nursing and midwifery curricula and to report the evaluation of these sessions.

METHODS

Two scenario based sessions attended by nursing, midwifery and law students were delivered as an addition to existing nursing, midwifery and law curricula. The scenarios were based on real life cases and students collaborated to identify means of managing legal and ethical issues arising from the scenarios. These sessions were facilitated by lecturers from the schools of law, midwifery and nursing.

FINDINGS

All attending students completed an evaluation questionnaire. Student evaluations indicated that the experience of working through the scenarios with their colleagues from other disciplines had enabled them to gain further knowledge and understanding around healthcare law and ethics. Student evaluations indicated a high level of engagement and interest in the subject and also drew attention to the supportive structure of the IPE sessions.

CONCLUSION

Nurses and midwives continue to be called to account by both their professional body and in law for issues related to their practice. A way to enable students to consider this and aid their preparation for clinical and professional practice is through the use of clinically and professionally relevant healthcare law and ethics scenarios in IPE sessions.

摘要

背景

护理及助产士管理局(NMC)对护士采取的诉讼和纪律处分仍是一个令人担忧的问题,截至2015/16年的五年间,针对国民保健制度(NHS)的索赔成本增加了72%,仅一年就花费了近15亿英镑。此外,2016 - 2017年有5476起关于注册人员执业资格的转介被提交给了NMC。本文的目的是讨论如何将一对基于情景的跨专业教育(IPE)课程引入现有的护理和助产课程中,这些课程聚焦于医疗保健法和伦理主题,并报告对这些课程的评估。

方法

作为现有护理、助产和法律课程的补充,举办了两场由护理、助产和法律专业学生参加的基于情景的课程。这些情景基于真实案例,学生们合作确定处理情景中出现的法律和伦理问题的方法。这些课程由法律、助产和护理学院的讲师主持。

结果

所有参加的学生都完成了一份评估问卷。学生评估表明,与来自其他学科的同事一起处理情景的经历使他们能够在医疗保健法和伦理方面获得更多知识和理解。学生评估显示出对该主题的高度参与和兴趣,也提请注意IPE课程的支持性结构。

结论

护士和助产士在执业相关问题上继续受到其专业机构和法律的问责。让学生考虑这一点并帮助他们为临床和专业实践做好准备的一种方法是在IPE课程中使用与临床和专业相关的医疗保健法和伦理情景。

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