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让患者参与本科健康专业教育:这对他们有什么好处?

Involving patients in undergraduate health professions education: What's in it for them?

作者信息

Romme Sjim, Smeets Hester Wilhelmina Henrica, Bosveld Matthijs Hugo, van den Besselaar Helene, Kline Cathy, Van Bokhoven Marloes Amantia

机构信息

Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.

Faculty of Health Care, Zuyd University of Applied Sciences, Heerlen, The Netherlands.

出版信息

Patient Educ Couns. 2022 Jul;105(7):2190-2197. doi: 10.1016/j.pec.2021.12.014. Epub 2021 Dec 23.

Abstract

OBJECTIVES

Patients have become more involved in research, policy, and health professions education. They are involved in teaching students competencies required for person-centred care, but patient benefits have not received proper attention. This exploratory study identifies how patient involvement in health professions education help patients to practice self-management and shared decision-making.

METHODS

Individual interviews were conducted with patients (hereafter 'experts by experience') (N = 11) who participated in the Patient As a Person Module, organised for students of health professions in The Netherlands. Additionally, one of their healthcare professionals (N = 10) and family members (N = 9) were interviewed. Directed content analysis was used.

RESULTS

Participants reported that sharing lived experiences helped experts by experience to reflect on their preferences regarding health and healthcare, accept their changed selves, and obtain a renewed sense of purpose. They reported gaining insight into the perspectives of healthcare professionals, which yielded more equal healthcare professional-patient relationships.

CONCLUSIONS

Sharing their lived experiences with health and health care with students could help patients in practising effective self-management and participate in shared decision-making.

PRACTICE IMPLICATIONS

Approaching patient involvement in health professions education from both the perspectives of students and experts by experience, as opposed to students alone, optimises its societal impact.

摘要

目标

患者在研究、政策制定和卫生专业教育中参与度越来越高。他们参与教授学生以患者为中心的护理所需的能力,但患者的获益尚未得到应有的关注。这项探索性研究确定了患者参与卫生专业教育如何帮助患者进行自我管理和共同决策。

方法

对参与荷兰卫生专业学生组织的“患者即个体模块”的患者(以下简称“经验专家”)(N = 11)进行了个人访谈。此外,还对他们的一名医疗保健专业人员(N = 10)和家庭成员(N = 9)进行了访谈。采用定向内容分析法。

结果

参与者报告称,分享生活经历有助于经验专家反思他们对健康和医疗保健的偏好,接受改变后的自己,并获得新的目标感。他们报告说,深入了解了医疗保健专业人员的观点,这使得医患关系更加平等。

结论

与学生分享他们在健康和医疗保健方面的生活经历可以帮助患者进行有效的自我管理并参与共同决策。

实践意义

从学生和经验专家的角度,而不是仅从学生的角度来探讨患者参与卫生专业教育,可优化其社会影响。

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