Rojo Martha, Wright Scott, Jin Jing, Feliciano Erickson, Love Margaret, Stevenson Sharon
College of Nursing, University of Arkansas for Medical Sciences (UAMS), 4301 W. Markham St., Little Rock, AR, 72205, USA.
Office of Educational Development, University of Arkansas for Medical Sciences (UAMS), 4301 W. Markham St., Little Rock, AR, 72205, USA.
BMC Med Educ. 2025 Apr 10;25(1):508. doi: 10.1186/s12909-025-07071-4.
The shortage of clinical placements and preceptors necessitates innovative approaches to healthcare education. Community health fairs (CHFs) offer a potential solution, but their effectiveness as learning environments is limited. Further, there is lack of recent literature exploring CHFs settings as potential learning environments. This study examined and explored the benefits and challenges of healthcare students and faculty participating in a CHF setting.
Using a semi-structured guide developed by the researchers for this study, qualitative conversational interviews were conducted with 14 participants (7 students, 7 faculty) involved in an annual CHF. Prior to the interview, all participants completed a demographic data sheet. All interviews were audio-recorded, transcribed, checked for accuracy, and de-identified, and MAXQDA was used to manage and code the interviews. Two coders analyzed the transcripts, and a third coder served to confirm the qualitative findings, and Clarke and Braun thematic analysis was employed to develop themes. Descriptive statistics were used to describe the sample.
Seven faculty participated in this study; the age range was 34-64 and years in practice ranged from 7 to 23, four participants were advanced practice nurses (28.6%), two mental health providers (14.3%), and one dental provider (7.1%). The student participants consisted of five dental hygiene students (35.7%) and two nursing students (14.3%). Participants were predominantly female (92.9%), with one male participant (7.1%). The average interview lasted 8 min reflecting the dynamic and fast-paced nature of CHFs. Four major themes emerged from the interviews: (1) Skills development and practical experience, (2) Perspective enhancement, (3) Challenges within the Learning environment, and (4) Recommendations for enhancing health fair settings experiences.
CHFs can serve as valuable active learning environments that promote clinical skill development and broaden perspectives. To improve CHFs experiences, participants discussed increasing collaborations with other healthcare institutions within the state, making the examination rooms more realistic, and increasing privacy for the patients. Participants also recommended pre-training of healthcare volunteers and incorporating technology for teaching patients. More research is needed to evaluate the utility of CHFs as a learning environment. This is urgent since clinical settings are limited and saturated. Further, researchers should continue doing research in this environment since the literature is scant and dated.
临床实习岗位和带教老师的短缺使得医疗教育需要创新方法。社区健康博览会(CHFs)提供了一种潜在的解决方案,但其作为学习环境的有效性有限。此外,缺乏近期探讨将CHFs环境作为潜在学习环境的文献。本研究考察并探讨了医学生和教师参与CHFs环境的益处与挑战。
使用研究人员为本研究编制的半结构化指南,对参与年度CHF的14名参与者(7名学生、7名教师)进行定性访谈。在访谈前,所有参与者填写了一份人口统计数据表。所有访谈均进行了录音、转录、准确性核对和去识别处理,并使用MAXQDA来管理和编码访谈内容。两名编码员分析了转录文本,第三名编码员负责确认定性研究结果,并采用克拉克和布劳恩主题分析法来提炼主题。使用描述性统计来描述样本。
7名教师参与了本研究;年龄范围为34 - 64岁,从业年限为7至23年,4名参与者为高级执业护士(28.6%),2名心理健康服务提供者(14.3%),1名牙科服务提供者(7.1%)。学生参与者包括5名口腔卫生专业学生(35.7%)和2名护理专业学生(14.3%)。参与者主要为女性(92.9%),有1名男性参与者(7.1%)。平均访谈时长为8分钟,反映出CHFs动态且节奏快的特点。访谈中出现了四个主要主题:(1)技能发展与实践经验,(2)视角拓展,(3)学习环境中的挑战,(4)提升健康博览会环境体验的建议。
CHFs可作为促进临床技能发展和拓宽视野的宝贵的主动学习环境。为改善CHFs体验,参与者讨论了加强与该州其他医疗机构的合作、使检查室更逼真以及增加患者隐私。参与者还建议对医疗志愿者进行预培训,并引入技术用于对患者的教学。需要更多研究来评估CHFs作为学习环境的效用。鉴于临床环境有限且饱和,这一需求十分迫切。此外,由于相关文献稀少且陈旧,研究人员应继续在这一环境中开展研究。