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跨专业培训对医学生承担临床责任意愿的影响。

Impact of interprofessional training on medical students' willingness to accept clinical responsibility.

作者信息

Lorenz R A, Pichert J W

出版信息

Med Educ. 1986 May;20(3):195-200. doi: 10.1111/j.1365-2923.1986.tb01167.x.

Abstract

Interprofessional training has been suggested as a means of preparing medical students for team health care, but the effects of such training have not been carefully studied. A multidisciplinary training programme in ambulatory diabetes care was developed to promote positive attitudes towards team care. Programme effects were assessed by a questionnaire which asked medical students to indicate their willingness to delegate or share 25 specific clinical tasks with a nurse. Following programme participation, students' willingness to share responsibility increased significantly for seven of the 25 tasks. To test the hypothesis that this effect resulted from the assignment of a teaching role to nurses, selected seminar content was taught by doctors or nurses on a random basis. No differences in willingness to share responsibility were related to which professional taught the seminar content. However, students were more willing to share responsibility with a nurse when they thought they had learned that topic from a nurse, suggesting that their experience in observing nurses at work may have been important in influencing attitudes towards team care.

摘要

跨专业培训被认为是让医学生为团队医疗保健做好准备的一种方式,但此类培训的效果尚未得到仔细研究。制定了一项门诊糖尿病护理多学科培训计划,以促进对团队护理的积极态度。通过一份问卷评估该计划的效果,问卷要求医学生表明他们与护士分担或分享25项特定临床任务的意愿。参与该计划后,在25项任务中的7项上,学生分担责任的意愿显著增加。为了检验这种效果是由赋予护士教学角色所导致的这一假设,随机安排医生或护士讲授选定的研讨内容。分担责任的意愿差异与讲授研讨内容的专业无关。然而,当学生认为他们是从护士那里学到该主题时,他们更愿意与护士分担责任,这表明他们观察护士工作的经历可能对影响其对团队护理的态度很重要。

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