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利用成人学习特点和人文学科向本科医护专业学生传授健康的社会决定因素。

Using adult learning characteristics and the humanities to teach undergraduate healthcare students about social determinants of health.

作者信息

Brown Elizabeth A, Kinder Hannah, Stang Garrett, Shumpert Wendy

机构信息

Old Dominion University, Norfolk, VA USA.

Medical University of South Carolina (MUSC), Charleston, SC USA.

出版信息

Humanit Soc Sci Commun. 2023;10(1):114. doi: 10.1057/s41599-023-01599-w. Epub 2023 Mar 18.

DOI:10.1057/s41599-023-01599-w
PMID:36969313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10024284/
Abstract

Authors used an andragogy framework to help undergraduate allied health students better understand social determinants of health (SDOH) using a photo essay assignment. The study examined students' perceptions of SDOH in various communities, description of health outcomes associated with their chosen SDOH, and lessons learned and suggestions to improve the assignment for future cohorts. Data were extracted from photo essays from 2019-2021 and entered in Microsoft Excel and Word for data analysis after course completion. Conventional qualitative content analysis was used to analyze student evaluation data from open-ended questions. Data were extracted from 53 student essays from 2019 to 2021. Most photo essays described communities in South Carolina ( = 42, 79.2%), urban areas ( = 37, 69.8%), or intermediary SDOH (75.5%). Several themes emerged concerning lessons learned (awareness and empathy are key to addressing SDOH), health equity (collaboration is necessary to provide resources, especially for underserved populations), and constructive feedback for the instructor (more time to discuss SDOH and assignment with peers and instructor). Faculty must work with students to think about more upstream factors like policy and cultural and societal values. Collecting evaluation data, specifically lessons learned and constructive feedback for faculty, can help faculty continuously improve course topics and assignments. Following a transparency framework can support student success and help faculty become effective leaders in the classroom while teaching subjects like SDOH and social justice.

摘要

作者运用了成人教育框架,通过一项摄影短文作业,帮助本科联合健康专业的学生更好地理解健康的社会决定因素(SDOH)。该研究考察了学生对不同社区中SDOH的认知、与他们所选SDOH相关的健康结果描述,以及从中学到的经验教训和对改进未来班级作业的建议。数据从2019年至2021年的摄影短文中提取,课程结束后录入微软Excel和Word进行数据分析。采用传统的定性内容分析法分析来自开放式问题的学生评估数据。数据从2019年至2021年的53篇学生短文中提取。大多数摄影短文描述的是南卡罗来纳州的社区(42篇,占79.2%)、城市地区(37篇,占69.8%)或中间的SDOH(占75.5%)。出现了几个关于经验教训的主题(意识和同理心是解决SDOH的关键)、健康公平(需要合作来提供资源,特别是为服务不足的人群)以及给教师的建设性反馈(有更多时间与同学和教师讨论SDOH和作业)。教师必须与学生合作,思考更多上游因素,如政策以及文化和社会价值观。收集评估数据,特别是学生学到的经验教训和给教师的建设性反馈,可以帮助教师不断改进课程主题和作业。遵循一个透明度框架可以支持学生取得成功,并帮助教师在教授SDOH和社会正义等课程时成为课堂上有效的领导者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af53/10024284/ed5dfd887157/41599_2023_1599_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af53/10024284/2094018b04f5/41599_2023_1599_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af53/10024284/ed5dfd887157/41599_2023_1599_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af53/10024284/2094018b04f5/41599_2023_1599_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af53/10024284/ed5dfd887157/41599_2023_1599_Fig2_HTML.jpg

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