Medical student perspectives on conducting patient experience debrief interviews with hospitalized children and their families.


Journal

Medical teacher
ISSN: 1466-187X
Titre abrégé: Med Teach
Pays: England
ID NLM: 7909593

Informations de publication

Date de publication:
04 2021
Historique:
pubmed: 9 12 2020
medline: 29 7 2021
entrez: 8 12 2020
Statut: ppublish

Résumé

To explore how medical students completing a pediatric clerkship viewed the benefits and barriers of debrief interviews with hospitalized patients and families. In this study, focus groups were conducted with pediatric clerkship students after completion of a debrief interview. The constant comparative method was used with Mezirow's transformative learning theory as a lens to explore perceptions of the benefits and challenges of performing the interview. Focus groups revealed five benefits and two challenges. The benefits were that the debrief interviews helped students (1) humanize patients and appreciate social and environmental influences on patient health, (2) assess caregiver/patient understanding about care to correct misunderstandings, (3) actively involve caregivers/patients in treatment plan development, (4) engage patients in active expression of questions/concerns, and (5) recognize the value of their own role on the healthcare team. The challenges were that students felt (1) a lack of knowledge to answer caregivers'/patients' questions about diagnoses and (2) discomfort responding to caregiver/patient frustration, anxiety, or sadness. Student feedback on feasibility and implementation led to guidelines for selecting patients and conducting small group discussions after the debrief interviews. Debrief interviews offer a unique approach for learners to explore patient perspectives during hospitalization through direct patient engagement and dialogue, contributing to professional development, empathy, and potentially more positive patient care experiences.

Identifiants

pubmed: 33290120
doi: 10.1080/0142159X.2020.1854707
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

421-427

Auteurs

Ian S Chua (IS)

Children's National Hospital, Washington, DC, USA.
Stanford University School of Medicine, Palo Alto, California, USA.
The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Alyssa L Bogetz (AL)

Stanford University School of Medicine, Palo Alto, California, USA.

Michele Long (M)

University of California San Francisco, San Francisco, California, USA.

Terry Kind (T)

The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Mary Ottolini (M)

The Barbara Bush Children's Hospital at Maine Medical Center, Portland, Maine, USA.
Tufts University School of Medicine, Boston, Massachusetts, USA.

Matthew Lineberry (M)

University of Kansas Medical Center, Kansas City, Kansas, USA.

Priti Bhansali (P)

Children's National Hospital, Washington, DC, USA.
The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

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