Almendingen Kari, Bergem Anne Kristine, Sparboe-Nilsen Bente, Kvarme Lisbeth Gravdal, Šaltytė Benth Jūratė
Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Centre for Next of Kin and Carers, Stavanger, Norway.
J Multidiscip Healthc. 2021 Nov 27;14:3295-3308. doi: 10.2147/JMDH.S338686. eCollection 2021.
Children who are "next of kin" (ie, sick/dying/addicted/imprisoned close relatives) are at increased risk for health consequences. Health professionals in Norway are required by law to help such children, and professional educations should focus on this issue.
To assess the extent to which students attending health, social care, and teacher education felt their uni-professional education and a mandatory interprofessional learning (IPL) course had taught them about children as next of kin. To explore variations in student responses according to age and educational background.
This was a cross-sectional study. Students (n = 2811) completed questionnaires relating to IPL courses delivered in 2019 and 2020 (hybrid case-based learning). Students discussed issues relating to interprofessional collaboration targeting children, young people and their families in small IPL groups.
The response rates ranged from 25.8% to 36.0%. All but 5.2% of the students agreed that it was important to learn about children as next of kin. Although 61.9% reported that their education had not taught about such children, 73.8% had gained increased insight from the IPL course (difference 35.7% 95% CI (29.0; 42.0), p < 0.001). The teacher and child welfare students had gained greater insight than the health and social care students. Significant pre- to post-course increases were found among the physiotherapy (p < 0.001), Mensendieck physiotherapy (p < 0.001), teacher education (p < 0.001), early childhood education (p < 0.001), and teacher education in art and design (p = 0.042) students.
Nearly 2/3 reported that they had not been taught about children as next of kin at their own educations, but more than 2/3 had gained greater insight from the IPL course. The health and social care students reported the least gain. Although the law has existed for a decade, the topic of children as next of kin is still omitted from most educational programs.
作为“近亲”(即患病/濒死/成瘾/被监禁的近亲)的儿童面临着更大的健康风险。挪威的卫生专业人员依法有责任帮助这些儿童,专业教育应关注这一问题。
评估参加健康、社会护理和教师教育的学生认为他们的单一专业教育和一门强制性的跨专业学习(IPL)课程在多大程度上教会了他们有关儿童作为近亲的知识。探讨学生回答根据年龄和教育背景的差异。
这是一项横断面研究。学生(n = 2811)完成了与2019年和2020年开设的IPL课程(基于案例的混合学习)相关的问卷。学生们在小型IPL小组中讨论了针对儿童、青少年及其家庭的跨专业合作相关问题。
回复率在25.8%至36.0%之间。除5.2%的学生外,所有学生都认为了解儿童作为近亲的知识很重要。尽管61.9%的学生报告说他们的教育没有讲授过这类儿童,但73.8%的学生从IPL课程中获得了更多的见解(差异35.7%,95%置信区间(29.0;42.0),p < 0.001)。教师和儿童福利专业的学生比健康和社会护理专业的学生获得了更多的见解。在物理治疗(p < 0.001)、门森迪克物理治疗(p < 0.001)、教师教育(p < 0.001)、幼儿教育(p < 0.001)以及艺术与设计教师教育(p = 0.042)专业的学生中,课程前后有显著增加。
近三分之二的学生报告说他们在自己的教育中没有学习过儿童作为近亲的相关知识,但超过三分之二的学生从IPL课程中获得了更多的见解。健康和社会护理专业的学生收获最少。尽管该法律已存在十年,但儿童作为近亲这一主题在大多数教育项目中仍然被忽略。