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死亡咖啡馆对话:评估姑息治疗教学中对大学生的教育潜力。

Death Café conversations: evaluating the educational potential for university students in palliative care teaching.

作者信息

Borque Ignacio, Oliete Elena, Arantzamendi María, Centeno Carlos

机构信息

Department of Palliative Medicine, Clinica Universidad de Navarra, Av. de Pío XII, 36, Pamplona, Navarra 31008, Spain.

Fundación Instituto Valenciano de Oncología, Valencia, Spain.

出版信息

Palliat Care Soc Pract. 2024 Sep 28;18:26323524241273490. doi: 10.1177/26323524241273490. eCollection 2024.

Abstract

BACKGROUND

Discussing death, particularly among future healthcare professionals, remains a challenge. The "Death Café" initiative offers a relaxed setting for such conversations, and this study investigates its educational potential for medical students.

OBJECTIVES

To assess the effectiveness of "Death Café" as an educational tool for medical students in palliative care, and to understand students' perceptions and reflections on death and end-of-life topics post-participation.

DESIGN

An exploratory qualitative design was employed, analyzing reflections submitted by medical students following voluntary participation in a Death Café session.

METHODS

Medical students from a course on palliative care participated in the "Death Café," a structured yet informal discussion about death in a relaxed café setting. Subsequently, participants submitted written reflections on their experiences. These reflections were analyzed using a thematic analysis method, identifying emerging themes related to the students' perceptions of death, the event, and its impact on their future medical practice.

RESULTS

Forty-two students attended the Death Café. Twenty-one reflections were collected from 29 medical students who participated. Most students found the "Death Café" environment conducive to open conversations about death. Key themes included recognizing the fragility of life, the role of medical professionals in end-of-life care, and the personal and professional growth derived from such reflections. The students also highlighted the transformative nature of the event, shifting from discussing death in general to pondering on their roles as future healthcare professionals. Positive feedback indicated the absence of negative comments about the activity, with suggestions provided for future iterations.

CONCLUSION

The "Death Café" serves as an innovative pedagogical approach to medical education, particularly in palliative care teaching. It offers students a platform for sincere dialogue on death and reinforces the significance of integrating innovative methods in medical training. This initiative not only enriches personal understanding but also emphasizes the commitment to holistic patient care.

摘要

背景

讨论死亡,尤其是在未来的医疗专业人员中,仍然是一项挑战。“死亡咖啡馆”倡议为这类对话提供了一个轻松的环境,本研究调查了其对医学生的教育潜力。

目的

评估“死亡咖啡馆”作为医学生姑息治疗教育工具的有效性,并了解学生参与后对死亡和临终话题的看法及反思。

设计

采用探索性定性设计,分析医学生自愿参加死亡咖啡馆活动后提交的反思。

方法

来自姑息治疗课程的医学生参加了“死亡咖啡馆”,这是在轻松的咖啡馆环境中关于死亡的结构化但非正式的讨论。随后,参与者提交了关于他们经历的书面反思。使用主题分析法对这些反思进行分析,确定与学生对死亡的看法、活动及其对他们未来医疗实践的影响相关的新出现主题。

结果

42名学生参加了死亡咖啡馆。从29名参与的医学生中收集到21份反思。大多数学生发现“死亡咖啡馆”的环境有利于就死亡展开开放的对话。关键主题包括认识到生命的脆弱性、医疗专业人员在临终关怀中的作用以及从这些反思中获得的个人和职业成长。学生们还强调了该活动的变革性,从一般地讨论死亡转变为思考他们作为未来医疗专业人员的角色。积极反馈表明没有对该活动的负面评论,并为未来的改进提供了建议。

结论

“死亡咖啡馆”是医学教育的一种创新教学方法,特别是在姑息治疗教学中。它为学生提供了一个真诚对话死亡的平台,并强化了在医学培训中整合创新方法的重要性。这项倡议不仅丰富了个人理解,还强调了对整体患者护理的承诺。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0ec/11503842/3c2e792453e2/10.1177_26323524241273490-fig1.jpg

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