医科学生面对垂危病人的经历:确定东部地区的教育需求

I. Made, Pramana Dharmatika, Yoyo Suhoyo, T. Prihatiningsih
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摘要

背景:病人死亡是临床轮转期间可能引发医学生情绪反应的事件。本研究旨在通过医学生的亲身经历,了解他们在处理病人死亡时的准备情况及其教育需求:这是一项采用描述性现象学方法进行的定性研究。研究采用了有目的的抽样方法,以选择在临床轮转期间有护理临终病人经验的医学生。通过半结构化访谈收集数据。采用科莱兹方法分析数据:结果:六名医学生的经历表明,医学生在与家人讨论临终问题、为临终病人提供情感支持以及为悲伤的家人提供支持方面存在困难。等级制度和隐性课程影响了医学生与医务人员在提供临终关怀过程中的互动。医学生的教育需求包括教授和学习临终病人护理中的沟通技巧和态度、了解临终护理中的当地文化、有机会观察医务人员与临终病人和家属的沟通,以及在病人去世后与医护团队成员进行汇报:本研究的结果有助于深入了解医学生处理病人死亡及其问题的经验。医学院校应通过课程开发为医学生护理临终病人做好准备。
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MEDICAL STUDENTS’ EXPERIENCES WITH DYING PATIENTS: IDENTIFYING EDUCATIONAL NEEDS IN THE EASTERN CONTEXT
Background: The death of a patient is an event that could trigger medical students’ emotional reactions during clinical rotation. This study aimed to identify medical students’ preparedness in dealing with patients’ death and their educational needs through their lived experience.Methods: This was a qualitative study with a descriptive phenomenological approach. Purposive sampling was used to select medical students with experience caring for dying patients during clinical rotation. Data were collected through semi-structured interviews. Colaizzi’s method was used to analyze data.Results: The experience of six medical students showed medical students’ difficulties in discussing end-of-life with family members, giving emotional support to dying patients, and supporting grieving family members. Hierarchies and hidden curriculums influenced the interaction between medical students and medical staff during end-of-life care provision. The educational needs of medical students were teaching and learning about communication skills and attitudes in caring for dying patients, awareness of local culture in end-of-life care, the opportunity to observe medical staff communicate with dying patients and family members, and debriefing with healthcare team members after patients’ death.Conclusion: The findings of this study have provided insight into medical students’ experiences in dealing with patients’ death and their problems. Medical schools should prepare medical students to care for dying patients through curriculum development.
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