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日本强化疫苗接种培训课程中的学习体验:一项定性研究

Learning Experiences in an Intensive Vaccination Training Course in Japan: A Qualitative Study.

作者信息

Fujikawa Hirohisa, Hayashi Mikio, Son Daisuke, Eto Masato

机构信息

Center for General Medicine Education, School of Medicine, Keio University, Tokyo, JPN.

Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Tokyo, JPN.

出版信息

Cureus. 2025 Feb 5;17(2):e78574. doi: 10.7759/cureus.78574. eCollection 2025 Feb.

Abstract

INTRODUCTION

Medical students rarely have opportunities to perform common clinical procedures, and this is especially true in Japan. An intensive vaccination training course was developed to resolve this issue. Medical students experienced (almost) their first experience with needles in a live person with the help of their colleagues and supervisors and seemed to learn various things during the course. However, the details of their learning experiences are not clear; therefore, this study aimed to explore their learning experiences.

METHODOLOGY

The research team, comprising a PhD student and experts in health professions education, interviewed 12 course participants to explore their learning experiences. They analyzed anonymized transcripts using inductive thematic analysis within a social constructivist paradigm.

RESULTS

Qualitative analysis showed the following seven themes: (1) changes in clinical clerkships due to the COVID-19 pandemic, (2) recognized entry into the medical professional community, (3) smooth clinical procedure, (4) the vaccination target is a human being, (5) sense of responsibility associated with receiving compensation, (6) working with colleagues, and (7) presence of supervisors. The participants emphasized that working with real vaccinees, rather than mannequins, created pressure not to fail, which positively influenced their learning.

CONCLUSIONS

This study revealed that the participants felt a sense of entry into the medical professional community and gained confidence in performing a smooth clinical procedure. Some conditions of the course, such as the vaccination target, working with colleagues, and the presence of supervisors, promoted their learning. The findings will inform international faculty members about the development of curricula for vaccination skills and other clinical procedural skills.

摘要

引言

医学生很少有机会进行常见的临床操作,在日本尤其如此。为此开发了一门强化疫苗接种培训课程来解决这一问题。医学生在同事和上级的帮助下,在真人身上(几乎)首次体验了打针,并且在课程中似乎学到了很多东西。然而,他们学习经历的细节尚不清楚;因此,本研究旨在探索他们的学习经历。

方法

由一名博士生和健康职业教育专家组成的研究团队采访了12名课程参与者,以探索他们的学习经历。他们在社会建构主义范式内,使用归纳主题分析法对匿名的访谈记录进行了分析。

结果

定性分析显示了以下七个主题:(1)COVID-19大流行导致临床实习的变化,(2)意识到进入医学专业群体,(3)顺利进行临床操作,(4)疫苗接种对象是真人,(5)与获得报酬相关的责任感,(6)与同事合作,以及(7)上级的在场。参与者强调,与真实的接种者而非人体模型合作产生了不能失败的压力,这对他们的学习产生了积极影响。

结论

本研究表明,参与者感受到了进入医学专业群体的感觉,并在顺利进行临床操作方面获得了信心。课程的一些条件,如疫苗接种对象、与同事合作以及上级的在场,促进了他们的学习。这些发现将为国际教员提供有关疫苗接种技能和其他临床操作技能课程开发的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd8a/11888797/26a8108c53c0/cureus-0017-00000078574-i01.jpg

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