School of Nursing and Midwifery, Monash University, Frankston, VIC, Australia.
School of Allied Health, Faculty of Health & Medical Sciences, The University of Western Australia, Crawley, WA, Australia.
Med Educ. 2021 May;55(5):574-581. doi: 10.1111/medu.14411. Epub 2020 Nov 25.
Community and consumer involvement in health professions education (HPE) is of growing interest among researchers and educators, particularly in preparing health care graduates to effectively learn from, and collaborate with, people with lived experience of health issues. However, to date there has been limited direction on methodological approaches to engage health care consumers in the research and co-design of HPE.
In this paper, we describe the background to our work with health care consumers including the five core principles for successful co-design (inclusive; respectful; participative; iterative; outcomes focused) and how they can be applied as a research approach in HPE. We introduce the use of arts and humanities-based teaching methodologies including engagement, meaning-making and translational education strategies to illustrate how this research approach has been applied to reframe mental health education and practice in Australia. Furthermore, we share some reflective insights on the opportunities and challenges inherent in using a co-design research approach in HPE.
For the consumer voice to be embedded across HPE, there needs to be a collective commitment to curriculum redesign. This paper advances our understandings of the educational research potential of working with health care consumers to co-design rich and authentic learning experiences in HPE. Co-design research approaches that partner with and legitimise health care consumers as experts by experience may better align education and health professional practice with consumers' actual needs, an important first step in transforming hierarchical health care relationships towards more humanistic models of care.
社区和消费者参与健康专业教育（HPE）越来越受到研究人员和教育工作者的关注，特别是在培养医疗保健毕业生有效学习和与具有健康问题生活经验的人合作方面。然而，迄今为止，关于让医疗保健消费者参与 HPE 的研究和共同设计的方法学方法还没有得到多少指导。
在本文中，我们描述了我们与医疗保健消费者合作的背景，包括成功共同设计的五个核心原则（包容性；尊重；参与性；迭代性；以结果为导向），以及如何将其作为 HPE 中的一种研究方法应用。我们介绍了基于艺术和人文学科的教学方法的使用，包括参与、意义建构和转化教育策略，以说明这种研究方法如何应用于重新构建澳大利亚的心理健康教育和实践。此外，我们分享了在 HPE 中使用共同设计研究方法所固有的一些机会和挑战的反思性见解。
要将消费者的声音嵌入整个 HPE 中，就需要集体承诺进行课程重新设计。本文提高了我们对与医疗保健消费者合作共同设计 HPE 中丰富而真实的学习体验的教育研究潜力的理解。与经验丰富的医疗保健消费者合作并使他们成为合法专家的共同设计研究方法可能会使教育和医疗保健专业实践更好地与消费者的实际需求保持一致，这是将等级制的医疗保健关系转变为更人性化的护理模式的重要第一步。
