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从临床实习经验中学习:本科物理治疗专业学生如何开展以患者为中心的实践?

Learning from clinical placement experience: how do undergraduate physiotherapy students approach person-centered practice?

作者信息

Solvang Per Koren, Fougner Marit

机构信息

Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.

出版信息

Physiother Theory Pract. 2023 Dec 2;39(12):2609-2624. doi: 10.1080/09593985.2022.2089609. Epub 2022 Jun 16.

Abstract

INTRODUCTION

It is now widely accepted in physiotherapy and in other health professions, that involving patients in the design, planning and implementation of services is best practice. Little is, however, known about how physiotherapy students perceive their professional development in applying person-centered practice.

OBJECTIVE

To analyze how undergraduate physiotherapy students experience the process of learning to work in a person-centered way in clinical practice.

METHOD

Five focus-group interviews of final-year physiotherapy students.

RESULTS

It is important that students communicate in ways that accommodate the sociocultural characteristics of their patients. Students, where they experience that mutual understanding is not possible to achieve, tend to resort to the biomedical model and take on an expert instructor role that is met with acceptance from the patients. Some practice contexts were also found to strongly promote person-centered practice, others tightly restricting it.

CONCLUSION

In the educational setting, attention should be paid to the practice learning context, to the improvement of the ability of students to grasp the lived world of patients, and to activate their own identities and experiences as a relational tool in practicing person-centered care.

摘要

引言

在物理治疗及其他健康专业领域,让患者参与服务的设计、规划和实施已成为广泛认可的最佳实践。然而,对于物理治疗专业学生如何看待其在应用以患者为中心的实践中的专业发展,我们却知之甚少。

目的

分析本科物理治疗专业学生在临床实践中学习以患者为中心开展工作的过程体验。

方法

对物理治疗专业最后一年的学生进行了五次焦点小组访谈。

结果

学生以适应患者社会文化特征的方式进行沟通非常重要。当学生认为无法实现相互理解时,他们往往会诉诸生物医学模式,并承担起专家指导者的角色,而这一角色会得到患者的认可。研究还发现,一些实践环境有力地促进了以患者为中心的实践,而另一些则对其进行了严格限制。

结论

在教育环境中,应关注实践学习环境,提高学生理解患者生活世界的能力,并激活他们自身的身份和经验,将其作为实施以患者为中心护理的关系工具。

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