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患者参与跨专业教育:一项定性研究产生了关于纳入患者视角的建议。

Patient involvement in interprofessional education: A qualitative study yielding recommendations on incorporating the patient's perspective.

机构信息

Maastricht University, Maastricht, The Netherlands.

Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.

出版信息

Health Expect. 2020 Aug;23(4):943-957. doi: 10.1111/hex.13073. Epub 2020 Jun 4.

Abstract

BACKGROUND

Patient involvement in interprofessional education (IPE) is a new approach in fostering person-centeredness and collaborative competencies in undergraduate students. We developed the Patient As a Person (PAP-)module to facilitate students in learning from experts by experience (EBEs) living with chronic conditions, in an interprofessional setting. This study aimed to explore the experiences of undergraduate students, EBEs and facilitators with the PAP-module and formulate recommendations on the design and organization of patient involvement in IPE.

METHODS

We collected data from students, EBEs and facilitators, through eight semi-structured focus group interviews and two individual interviews (N = 51). The interviews took place at Maastricht University, Zuyd University of Applied Sciences and Regional Training Center Leeuwenborgh. Conventional content analysis revealed key themes.

RESULTS

Students reported that learning from EBEs in an interprofessional setting yielded a more comprehensive approach and made them empathize with EBEs. Facilitators found it challenging to address multiple demands from students from different backgrounds and diverse EBEs. EBEs were motivated to improve the person-centredness of health care and welcomed a renewed sense of purpose.

CONCLUSIONS

This study yielded six recommendations: (a) students from various disciplines visit an EBE to foster a comprehensive approach, (b) groups of at least two students visit EBEs, (c) students may need aftercare for which facilitators should be receptive, (d) EBEs need clear instruction on their roles, (e) multiple EBEs in one session create diversity in perspectives and (f) training programmes and peer-to-peer sessions for facilitators help them to interact with diverse students and EBEs.

摘要

背景

患者参与跨专业教育(IPE)是培养本科生以患者为中心和协作能力的新方法。我们开发了“患者即人(PAP)”模块,以促进学生在跨专业环境中向患有慢性疾病的经验专家(EBE)学习。本研究旨在探讨本科生、EBE 和辅导员对 PAP 模块的体验,并就患者参与 IPE 的设计和组织提出建议。

方法

我们通过八次半结构化焦点小组访谈和两次个人访谈(N=51)从学生、EBE 和辅导员处收集数据。访谈在马斯特里赫特大学、祖伊德应用科学大学和李堡地区培训中心进行。常规内容分析揭示了关键主题。

结果

学生报告说,在跨专业环境中向 EBE 学习提供了更全面的方法,并使他们对 EBE 产生共鸣。辅导员发现很难满足来自不同背景和不同 EBE 的学生的多种需求。EBE 有动力提高以患者为中心的医疗保健水平,并欢迎重新获得目标感。

结论

本研究提出了六项建议:(a)来自不同学科的学生访问 EBE 以培养全面的方法,(b)至少由两名学生组成的小组访问 EBE,(c)学生可能需要辅导员接受的后续护理,(d)EBE 需要明确其角色的指导,(e)在一次会议中安排多个 EBE 可以从不同角度获得多样性,(f)为辅导员提供培训计划和同伴对同伴的会议有助于他们与不同的学生和 EBE 互动。

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