Decline in medical students' attitudes to interprofessional learning and patient-centredness.
Context Interprofessional learning ( IPL) is valuable in preparing health care students to work collaboratively in teams, with patients' needs at the core. Patient-centredness is the impetus for communication and collaboration in health care. Debate continues on when it is best to develop positive s...
| Publicado en: | Medical Education Vol. 50; no. 5; pp. 550 - 560 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114490789&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 114490789 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: May2016 vid: 50 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 114490789 114490789 114490789 10.1111/medu.12958 114490789 ppf: 550 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Decline in medical students' attitudes to interprofessional learning and patient-centredness. aug: au: Hudson, Judith N Lethbridge, Alistair Vella, Susan Caputi, Peter affil: University of Newcastle, Tamworth New South Wales, Australia sug: subj: Students, Medical Student Attitudes Education, Interdisciplinary Patient Centered Care Scales Human Factor Analysis Coefficient alpha Chi Square Test Goodness of Fit Chi Square Test Cross Sectional Studies Purposive Sample Instrument Validation Descriptive Statistics Data Analysis Software ab: Context Interprofessional learning ( IPL) is valuable in preparing health care students to work collaboratively in teams, with patients' needs at the core. Patient-centredness is the impetus for communication and collaboration in health care. Debate continues on when it is best to develop positive student attitudes towards these aspects of care. Should IPL commence early before attitudes to patients, professional stereotypes and identity are formed, or later for advanced learners with greater experience of their roles and responsibility in health care? This study explores graduate-entry medical students' attitudes to IPL and patient-centred care, on programme entry and after an early interdisciplinary clinical experience ( ICE). Methods An extended version of the Readiness for Interprofessional Learning Scale ( RIPLS) was administered to four cohorts of medical students ( n = 279) on entry and after the 3-week placement. This 26-item RIPLS comprised four subscales: team work and collaboration; professional identity; roles and responsibilities; and patient-centredness. The impact of the placement on students' attitudes was assessed by using repeated measures analysis of variance to compare pre- and post- ICE subscale scores. Results There were significant main effects of time (pre- versus post- ICE) for the subscales of teamwork and collaboration, professional identity and patient-centredness, but not for roles and responsibilities. Scores for teamwork and collaboration, professional identity and patient-centredness were all lower post- ICE. Conclusions The students' less positive attitudes to teamwork and collaboration and professional identity may be due to the experience itself, or because it reinforced negative beliefs about the value of learning from non-medical health professionals. Perhaps the students' idealised view of their future role as a doctor was challenged by the experience, or they had an underdeveloped professional identity. Limited student experience of patients having an active role in their own health care may explain the decrease in attitudes to patient-centredness. A longitudinal qualitative study will explore these results. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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