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利用两段关于卡梅隆·邓肯经历的录像剪辑“DFK6498”和“Strike Zone”,对二级保健和社会卫生学生进行姑息治疗的反思性学习。

Reflective Learning of Palliative Care by Secondary Healthcare and Sociosanitary Students Using Two Videoclips on the Experience of Cameron Duncan: "DFK6498" and "Strike Zone".

机构信息

Fundación Vianorte-Laguna, Hospital Centro de Cuidados Laguna, Calle Concejal Francisco José Jiménez 128, 28047, Madrid, Spain.

出版信息

J Bioeth Inq. 2021 Jul;18(2):253-264. doi: 10.1007/s11673-021-10093-4. Epub 2021 Mar 1.

Abstract

Educating young people about how to interact with patients at the end of their lives is challenging. A qualitative study based on Husserl's phenomenological approach was performed to describe the learning experience of secondary education students after watching, analysing, and reflecting on two videoclips featuring Cameron Duncan, a young man suffering from terminal cancer (DFK6498 and Strike Zone). Students from three vocational centres providing training in ancillary nursing, pharmacy, and dependent care in the Community of Madrid visited the Palliative Care (PC) Hospital. A total of 110 students (102 female and 8 male), with a median age of nineteen years, participated in the study. The students' learning experience through the videoclips reveals the essential aspects required in palliative care, since the character suffers in every dimension of his being: physically as well as psychologically, socially, and spiritually. Therefore, this requires healthcare professionals to understand their experience, putting themselves in their place, to provide affectionate care and to display communication skills leading to a quality helping relationship. Four comprehensive educational categories were identified in the study. The students learned the importance of: 1) providing comprehensive and affectionate care to patients, 2) the need for communication skills in caring for patients, 3) being aware of the end of life and time left, 4) valuing life and fighting for what one wishes to attain. A visit to a PC hospital and the viewing of videoclips and reflection upon these, represents a useful strategy for secondary education healthcare students. The study indicates that videoclips are an innovative method for becoming aware of the various issues pertaining to palliative care.

摘要

对年轻人进行如何与临终患者互动的教育具有挑战性。本研究采用基于胡塞尔现象学方法的定性研究,旨在描述中等职业教育学生在观看、分析和反思两个以患有晚期癌症的年轻人 Cameron Duncan 为主题的视频片段(DFK6498 和 Strike Zone)后的学习体验。来自马德里社区附属护理、药房和依赖护理三个职业中心的学生参观了姑息治疗(PC)医院。共有 110 名学生(102 名女性和 8 名男性),年龄中位数为 19 岁,参与了这项研究。通过视频片段,学生们的学习体验揭示了姑息治疗所需的基本方面,因为患者在身体、心理、社会和精神各个方面都在承受痛苦。因此,这需要医疗保健专业人员了解他们的体验,设身处地为他们提供关爱,展示沟通技巧,建立优质的帮助关系。研究中确定了四个全面的教育类别。学生们了解到:1)为患者提供全面关爱的重要性;2)护理患者所需的沟通技巧;3)意识到生命的终结和剩余时间;4)珍惜生命并为实现愿望而奋斗。参观姑息治疗医院、观看视频片段并进行反思是中等职业教育医学生的一项有用策略。该研究表明,视频片段是提高对姑息治疗相关各种问题认识的创新方法。

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