Department of Health Professions, Bern University of Applied Sciences, Murtenstrasse 10, 3008, Bern, Switzerland.
La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
BMC Med Educ. 2022 Nov 4;22(1):756. doi: 10.1186/s12909-022-03819-4.
Healthcare is facing a shortage of qualified healthcare professionals. The pandemic has brought to light the fragile balance that affects all healthcare systems. Governments have realized that these systems and the professionals working in them need support at different levels to strengthen the retention of the workforce. Health professionals' education can play an important role in ensuring that new generations of workers have sound personal and professional competencies to successfully face the challenges of professional practice. These challenges are described in the literature, but the extent to which they are considered in health professionals' education is less clear.
This qualitative study compares the professional challenges and educational needs described in the literature with the current curricula for health professionals offered in Switzerland. Data were collected nationally through focus group interviews with 65% of Switzerland's directors of bachelor's and master's programs of health professions (nursing, physiotherapy, occupational therapy, midwifery, nutrition and dietetics, osteopathy, radiologic medical imaging technology, health promotion and prevention, and health sciences). The data attained were analyzed using knowledge mapping.
The results reveal a gap among education programs with regard to occupational health promotion and cultural diversity. Both topics are taught with a sole focus on patients, and students are expected to adopt similar strategies for their health promotion and stress management. Physicians are insufficiently involved in interprofessional education. The programs fail to enhance health professionals' political, economic and digital competencies.
The results of this study offer clear guidance about what topics need to be integrated into curricula to improve health professionals' well-being at work and their preparedness to face daily professional challenges.
医疗保健领域面临合格医疗保健专业人员短缺的问题。大流行凸显了影响所有医疗保健系统的脆弱平衡。各国政府已经意识到,这些系统和其中的专业人员需要在不同层面得到支持,以加强劳动力的保留。卫生专业人员的教育可以在确保新一代工作人员具备健全的个人和专业能力方面发挥重要作用,以成功应对专业实践中的挑战。这些挑战在文献中有所描述,但卫生专业人员教育中对这些挑战的重视程度尚不清楚。
本定性研究将文献中描述的专业挑战和教育需求与瑞士目前提供的卫生专业人员的课程进行了比较。通过全国范围的焦点小组访谈,从瑞士学士和硕士水平的卫生专业课程主任中收集了数据(护理、物理治疗、职业治疗、助产学、营养与饮食学、整骨疗法、放射医学成像技术、健康促进与预防、健康科学),参与率为 65%。使用知识图谱分析了获得的数据。
结果显示,教育计划在职业健康促进和文化多样性方面存在差距。这两个主题都是仅针对患者进行教学的,并且要求学生对其健康促进和压力管理采用类似的策略。医生在跨专业教育中参与不足。该课程未能提高卫生专业人员的政治、经济和数字能力。
本研究结果明确指出,需要将哪些主题纳入课程,以提高卫生专业人员的工作幸福感,并为他们应对日常专业挑战做好准备。