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探讨教育干预对护理和医学生对残疾人态度及同理心水平的影响。一项系统综述。

Exploring the impact educational interventions have on nursing and medical students' attitudes and empathy levels towards people with disability. A systematic review.

作者信息

Evans William, Lisiecka Dominika, Farrell Dawn

机构信息

8813Department of Nursing and Healthcare Sciences, School of Health and Social Sciences, Munster Technology University Tralee, Ireland.

8813Munster Technology University Kerry, Tralee, Ireland.

出版信息

J Intellect Disabil. 2023 Feb 16:17446295231155781. doi: 10.1177/17446295231155781.

DOI:10.1177/17446295231155781
PMID:36798039
Abstract

This systematic review aimed to explore the impact educational interventions have on undergraduate nursing and medical students' attitudes and empathy levels towards people with disability. There are over one billion people with some form of disability currently. A growing body of research reveals that nurses and doctors display negative attitudes including decreased empathy towards people with disability. A systematic review using narrative synthesis of chosen randomized controlled trials was employed. A comprehensive search was completed in June 2021 on six databases (CINAHL, Medline, Science Direct, Health Research Premium - PROQUEST, Scopus. Cochrane Library). The search strategy yielded 21,616 studies and only three randomised controlled trials fulfilled the eligibility criteria. These trials included 125 participants ( = 50 medical students and = 75 nursing students) and evaluated the effectiveness of a disabled health course, disability education module with bedside teaching and wheelchair workshop intervention. Findings from one study revealed that a disabled health course using affective learning method based on a transformative learning theory significantly improves attitudes to disability amongst nursing students however there was no statistically significant difference in empathy levels. More high-quality randomised controlled trials with greater theoretical and methodological complexity are needed to identify more effective educational approaches that enhance attitude and empathy levels of these key stakeholders.

摘要

本系统评价旨在探讨教育干预对本科护理和医学专业学生对残疾人态度及共情水平的影响。目前,有超过10亿人患有某种形式的残疾。越来越多的研究表明,护士和医生表现出消极态度,包括对残疾人的共情减少。采用叙述性综合法对选定的随机对照试验进行系统评价。2021年6月,在六个数据库(CINAHL、Medline、科学Direct、健康研究高级版——PROQUEST、Scopus、Cochrane图书馆)上完成了全面检索。检索策略共得到21616项研究,只有三项随机对照试验符合纳入标准。这些试验包括125名参与者(50名医学专业学生和75名护理专业学生),并评估了一门残疾健康课程、床边教学残疾教育模块和轮椅工作坊干预的效果。一项研究的结果显示,基于变革性学习理论采用情感学习方法的残疾健康课程显著改善了护理专业学生对残疾的态度,但共情水平没有统计学上的显著差异。需要更多理论和方法更复杂的高质量随机对照试验,以确定更有效的教育方法,提高这些关键利益相关者的态度和共情水平。

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