Deaf and hard of hearing awareness training: A mentor-led workshop.


Journal

The clinical teacher
ISSN: 1743-498X
Titre abrégé: Clin Teach
Pays: England
ID NLM: 101227511

Informations de publication

Date de publication:
Apr 2021
Historique:
revised: 05 10 2020
received: 21 05 2020
accepted: 07 10 2020
pubmed: 20 11 2020
medline: 19 8 2021
entrez: 19 11 2020
Statut: ppublish

Résumé

People who are deaf and hard of hearing (DHH) comprise a significant and increasing proportion of the population. They face many barriers to accessing good health care and major communication challenges with health professionals. There is evidence that DHH awareness training for health professionals needs improvement but little information about how such training is incorporated into curricula. The research question we address is how to develop and deliver an effective workshop for students led by people who, by definition, have barriers to communication due to hearing loss and deafness. Workshop development was initiated and led by a medical student as a course project, in collaboration with DHH people, other students, and university faculty in an iterative participatory educational design process, supported by a community-based organization that provides programs and services for DHH people. Development resulted in a pilot workshop suitable for all health professional students. Three workshops were attended by a total of 49 students from 10 different health disciplines. Workshops were highly rated. Thematic analysis of post-workshop reflections written by occupational therapy students showed learning in the domains of knowledge, skills (practical tips and techniques), and attitudes (assumptions, motivation, reflection). Partnership with a community organization makes it feasible for DHH people to design and facilitate workshops. The organization can provide the necessary environment, technology, and support, and identify people with lived experience to be workshop mentors. Workshops help make students more aware of the needs of DHH people and motivate them to provide better care.

Sections du résumé

BACKGROUND BACKGROUND
People who are deaf and hard of hearing (DHH) comprise a significant and increasing proportion of the population. They face many barriers to accessing good health care and major communication challenges with health professionals. There is evidence that DHH awareness training for health professionals needs improvement but little information about how such training is incorporated into curricula. The research question we address is how to develop and deliver an effective workshop for students led by people who, by definition, have barriers to communication due to hearing loss and deafness.
METHODS METHODS
Workshop development was initiated and led by a medical student as a course project, in collaboration with DHH people, other students, and university faculty in an iterative participatory educational design process, supported by a community-based organization that provides programs and services for DHH people. Development resulted in a pilot workshop suitable for all health professional students.
RESULTS RESULTS
Three workshops were attended by a total of 49 students from 10 different health disciplines. Workshops were highly rated. Thematic analysis of post-workshop reflections written by occupational therapy students showed learning in the domains of knowledge, skills (practical tips and techniques), and attitudes (assumptions, motivation, reflection).
CONCLUSIONS CONCLUSIONS
Partnership with a community organization makes it feasible for DHH people to design and facilitate workshops. The organization can provide the necessary environment, technology, and support, and identify people with lived experience to be workshop mentors. Workshops help make students more aware of the needs of DHH people and motivate them to provide better care.

Identifiants

pubmed: 33210421
doi: 10.1111/tct.13304
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

180-185

Subventions

Organisme : University of British Columbia
ID : Equity Enhancement Fund

Informations de copyright

© 2020 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Références

World Health Organization. Deafness and Hearing Loss Fact Sheet https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss (accessed 11 September 2020)
Kuenburg A, Fellinger P, Fellinger J. Health care access among deaf people. J Deaf Stud Deaf Educ. 2016;21(1):1-10.
Sheppard K. Deaf adults and health care: Giving voice to their stories. J Am Assoc Nurse Pract. 2014;26:504-510.
Middleton A, Turner GH, Bitner-Glindzicz M, Lewis P, Richards M, Clarke A, Stephens D. Preferences for communication in clinic from deaf people: a cross-sectional study. J Eval Clin Pract. 2010;16:811-817.
Iezzoni LI, O’Day BL, Killeen M, Harker H. Communicating about health care: observations from persons who are deaf or hard of hearing. Ann Intern Med. 2004;140:356-362.
Nagakura H, Schneider G, Morris J, Lafferty KA, Palmer CGS. Assessing Deaf awareness training: Knowledge and attitudes of recent genetic counseling graduates. J Genet Counsel. 2015;24:104-116.
Smith MCA, Hasnip JH. The lessons of deafness: deafness awareness and communication skills training with medical students. Med Educ. 1991;25:319-321.
Lock E. A workshop for medical students on deafness and hearing impairments. Acad Med. 2003;78(12):1229-1234.
Thew D, Smith SR, Chang C, Starr M. The Deaf Strong Hospital program: a model of diversity and inclusion training for first-year medical students. Acad Med. 2012;87(11):1496-1500.
Lapinski J, Colonna C, Sexton P, Richard M. American Sign Language and Deaf culture competency of osteopathic medical students. Am Ann Deaf. 2015;160(1):36-47.
Towle A, Godolphin W. Patients as educators: interprofessional learning for patient-centred care. Med Teach. 2013;35:219-225.
Towle A, Brown H, Hofley C, Kerston RP, Lyons H, Walsh C. The expert patient as teacher: an interprofessional Health Mentors programme. Clin Teach. 2014;11:301-306.
Patton MQ. Qualitative Research & Evaluation Methods. Thousand Oaks, CA: Sage Publications; 2014.

Auteurs

Jennifer Ham (J)

University of British Columbia - Patient & Community Partnership for Education, Office of UBC Health, Vancouver, British Columbia, Canada.

Angela Towle (A)

University of British Columbia - Patient & Community Partnership for Education, Office of UBC Health, Vancouver, British Columbia, Canada.

Grace Shyng (G)

Wavefront Centre for Communication Accessibility, Vancouver, British Columbia, Canada.

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