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一项关于纵向痴呆症教育项目对医学生知识和态度影响的定性评估。

A qualitative evaluation of the effect of a longitudinal dementia education programme on healthcare student knowledge and attitudes.

作者信息

Daley Stephanie, Feeney Yvonne, Grosvenor Wendy, Hebditch Molly, Morley Leila, Sleater Gillian, Wright Juliet, Banerjee Sube

机构信息

Centre for Dementia Studies, Brighton and Sussex Medical School, Brighton, UK.

School of Health Sciences, University of Surrey, Guilford, UK.

出版信息

Age Ageing. 2020 Oct 23;49(6):1080-1086. doi: 10.1093/ageing/afaa182.

Abstract

BACKGROUND AND OBJECTIVES

There is a need to ensure that the future healthcare workforce has the necessary knowledge and skills to deliver high quality compassionate care to the increasing number of people with dementia. Our programme has been set up to address this challenge. In the programme, undergraduate healthcare students (nursing, medical and paramedic) visit a family (person with dementia and their carer) in pairs over a 2-year period. This qualitative study sought to understand the student experience of the programme.

METHODS

Participants were undergraduate healthcare students who were undertaking our programme at two universities. We sampled for variation in the student participants in order to generate a framework for understanding the student experience of the programme. Students were invited to take part in the qualitative study, and written consent was obtained. Interviews and focus group transcripts were analysed using thematic analysis.

RESULTS

Thirty-nine (nursing, medical and paramedic) student participants took part in individual in-depth qualitative interviews and 38 took part in five focus groups. Four key themes were identified from the analysis; relational learning, insight and understanding, challenging attitudes and enhanced dementia practice.

DISCUSSION

Student experience of our programme was shown to be positive. The relationship between the students and family was most impactful in supporting student learning, and the subsequent improvement in knowledge, attitudes and practice. Our model of undergraduate dementia education has applicability for other long-term conditions.

摘要

背景与目标

有必要确保未来的医疗保健人员具备必要的知识和技能,以便为越来越多的痴呆症患者提供高质量的关怀护理。我们设立该项目就是为了应对这一挑战。在该项目中,本科医疗保健专业学生(护理、医学和护理辅助专业)在两年时间里成对拜访一户家庭(痴呆症患者及其照料者)。这项定性研究旨在了解学生对该项目的体验。

方法

参与者是在两所大学参加我们项目的本科医疗保健专业学生。我们对学生参与者进行抽样以获取不同类型,从而构建一个理解学生项目体验的框架。邀请学生参与定性研究,并获得了书面同意。使用主题分析法对访谈和焦点小组记录进行分析。

结果

39名(护理、医学和护理辅助专业)学生参与者参加了个人深度定性访谈,38名学生参加了五个焦点小组。分析确定了四个关键主题:关系学习、洞察力与理解、挑战态度以及改善痴呆症护理实践。

讨论

学生对我们项目的体验是积极的。学生与家庭之间的关系对支持学生学习以及随后知识、态度和实践的改善影响最大。我们的本科痴呆症教育模式适用于其他长期病症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab16/7583517/accb14160768/afaa182f1.jpg

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