School of Medicine, NUI Galway, Galway, Ireland.
Discipline of Paediatrics, Galway University Hospital, Galway, Ireland.
Clin Teach. 2023 Feb;20(1):e13544. doi: 10.1111/tct.13544. Epub 2022 Oct 5.
Whilst it is widely acknowledged that health care professionals (HCPs) learn from patient encounters, research exploring what HCPs learn from their meetings with patients is relatively sparse, particularly in the context of postgraduate training. Moreover, there are few research studies that examine the contribution of patient encounters to HCP education from both HCP and patient perspectives. This study set out to explore HCPs learning from patient encounters from both HCP and patient perspectives.
Qualitative descriptive design was used to conduct this study. Using purposive sampling, we recruited participants from three different groups in a single department of paediatrics in a teaching hospital. Data was collected through interviews, which were transcribed and analysed for key themes.
Patients felt that they played a central role in clinical education and highlighted their ability to educate postgraduate HCPs about their lived experiences of disease. HCPs highlighted the unique insight into a chronic illness gained from patient accounts, essential to developing patient and family orientated approaches to care. HCPs reported that they developed professionally, learning to adapt their negotiation and educational strategies.
This study highlights the importance of patient encounters as critical contributors to HCPs understanding of the lived experiences of patients with chronic disease, and offers insights into how parents view their contribution to clinical education. Much of this learning is embedded and implicit, which suggests that HCP trainees need to develop better in the moment awareness of what they are learning from their meetings with patients and their families.
尽管人们普遍认为医疗保健专业人员(HCP)从患者的遭遇中学习,但探索 HCP 从与患者的会议中学到了什么的研究相对较少,特别是在研究生培训方面。此外,几乎没有研究从 HCP 和患者的角度来考察患者遭遇对 HCP 教育的贡献。本研究旨在从 HCP 和患者的角度探讨 HCP 从患者遭遇中学习的情况。
采用定性描述性设计进行本研究。我们通过目的抽样,从一家教学医院儿科的三个不同群体中招募参与者。通过访谈收集数据,将访谈转录并进行主题分析。
患者认为他们在临床教育中扮演着核心角色,并强调了他们向研究生 HCP 传授自己疾病经历的能力。HCP 强调了从患者描述中获得的对慢性病的独特见解,这对制定以患者和家庭为导向的护理方法至关重要。HCP 报告说,他们在专业上有所发展,学会了调整自己的谈判和教育策略。
本研究强调了患者遭遇作为 HCP 了解慢性病患者真实体验的重要贡献者的重要性,并提供了有关父母如何看待自己对临床教育贡献的见解。这种学习大多是嵌入的和隐含的,这表明 HCP 实习生需要更好地即时意识到他们从与患者及其家属的会议中学习到了什么。