整体健康照护模式于医学教育行为意图之应用初探：计划性行为理论观点。

A preliminary study on applying holistic health care model on medical education behavioral intention: a theoretical perspective of planned behavior.

机构信息

Superintendent Office, Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation), No. 670, Chung Te Road, Tainan City, 701, Taiwan.

Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy and Science, No.60, Sec. 1, Erren Rd., Rende Dist, Tainan City, 71710, Taiwan.

出版信息

BMC Med Educ. 2021 May 28;21(1):307. doi: 10.1186/s12909-021-02746-0.

DOI:10.1186/s12909-021-02746-0

PMID:34049537

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8164220/

Abstract

BACKGROUND

This study aimed to apply the theory of planned behavior to identify the medical education behavioral intention of holistic healthcare on teachers and students who influence the medical and healthcare profession, as a revised future direction for hospitals to continue to implement holistic healthcare.

METHODS

This cross-sectional study was performed from April to May 2020. A questionnaire survey was conducted with the clinical teachers and students of the medical and healthcare profession in an individual Taiwan hospital as study subjects, based on judgmental sampling, and the study tool was a structured questionnaire.

RESULTS

A total of 360 valid samples were collected, 105 clinical teachers (29.2%) and 255 students (70.8%). Demographic variables were significantly different between clinical teachers (mean = 3.91) and students (mean = 3.73) (p = 0.023). Post hoc analysis regarding work experience found that those with work experience < 2 years (mean = 3.94) had higher results than those with 6-10 years (mean = 3.61) (p = 0.019). The results of multiple regression analysis indicate that the factors affecting medical education behavioral intention are subjective norm (t = 3.571, p < 0.001) and perceived behavioral control (t = 11.870, p < 0.001).

CONCLUSIONS

With respect to medical education behavioral intention, clinical teachers and students are affected by the subjective norm and perceived behavioral control. It is recommended that, in the curriculum of holistic medical education, designing holistic medical education teaching templates and check forms can encourage clinical teachers to re-examine their beliefs in teaching, learning, and knowledge. The results of this study allow the advocator to consider from a broader view making policies of and promoting the platform of holistic healthcare on medical education. It is recommended that future researchers conduct research, investigation, and analysis on other stakeholders.

摘要

背景

本研究旨在运用计划行为理论，确定影响医疗保健行业的教师和学生的整体医疗保健医学教育行为意向，作为医院继续实施整体医疗保健的修订未来方向。

方法

本横断面研究于 2020 年 4 月至 5 月进行。采用判断抽样法，以某医院医疗保健专业的临床教师和学生为研究对象，进行问卷调查，研究工具为结构化问卷。

结果

共收集到 360 份有效样本，其中临床教师 105 人（29.2%），学生 255 人（70.8%）。临床教师（均数=3.91）和学生（均数=3.73）的人口统计学变量差异有统计学意义（p=0.023）。工作经验的事后分析发现，工作经验<2 年（均数=3.94）的人比工作经验 6-10 年（均数=3.61）的人结果更高（p=0.019）。多元回归分析结果表明，影响医学教育行为意向的因素是主观规范（t=3.571，p<0.001）和知觉行为控制（t=11.870，p<0.001）。

结论

在医学教育行为意向方面，临床教师和学生受到主观规范和知觉行为控制的影响。建议在整体医学教育课程中，设计整体医学教育教学模板和检查表，可以鼓励临床教师重新审视他们在教学、学习和知识方面的信念。本研究的结果可以让倡导者从更广泛的角度考虑在医学教育中推广整体医疗保健的政策和平台。建议未来的研究人员对其他利益相关者进行研究、调查和分析。