Understanding the patient experience through the power of film: A mixed method qualitative research study

Understanding the patient experience through the power of film: A mixed method qualitative research study
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DOI:
10.1016/j.nedt.2016.08.025
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发表时间:
2016-11-01
影响因子:
3.9
通讯作者:
Heng, Simon
Heng, Simon
中科院分区:
医学1区
文献类型:
--
作者:
Ogston-Tuck, Sherri;Baume, Kath;Heng, Simon

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背景:几十年来,电影已被证明是一种强大的交流形式。无论是作为娱乐、艺术还是纪录片制作,电影都有能力让我们了解和感动我们。电影是一种极具吸引力的教学手段,也是一种适合健康教育的教学方法。它是研究疼痛、疾病和死亡等对人类最重要的情况的宝贵工具。目标:目的是确定这如何帮助学生参与到他们作为卫生保健专业人员的角色中;确定他们如何看待疾病、疾病、残疾或死亡的个人经历;并确定这可能如何影响他们提供病人护理。设计、背景和参与者:该项目的电影选择是由研究团队经过深思熟虑的审查、仔细的审查、沉思和谈话确定的。共有7部影片入选,包括动画片、外国影片、纪录片、传记片和好莱坞剧情片。每一部电影都在一个放映到大屏幕上的有声演讲厅中分别放映,来自不同队列(n=49)的注册前实习护士(成人、儿童和精神健康)。方法:混合定性方法包括电影放映后5分钟的反应录音、编码问卷和焦点小组。通过对数据集的主题分析和主观文本浓缩,得出以下结果:通过病人的眼睛观察新的洞察力;唤起护生的情感;精神关怀;到行动中了解病人的经历;通过电影发现自我;使用电影将理论与实践联系起来。结果:通过电影作为一种强有力的媒介进行更深入的学习,以达到研究目标。建议将电影融入到注册前的课程、教学、教学中。结论:电影的教学潜力源于与人类情感和经验相联系的视觉过程。它的影响不仅有助于学习支撑护理的价值观,而且还有助于尊重患者对疾病、残疾、死亡及其现实的体验。(C)2016爱思唯尔有限公司。保留所有权利。
Background: For decades film has proved to be a powerful form of communication. Whether produced as entertainment, art or documentary, films have the capacity to inform and move us. Films are a highly attractive teaching instrument and an appropriate teaching method in health education. It is a valuable tool for studying situations most transcendental to human beings such as pain, disease and death.Objectives: The objectives were to determine how this helps students engage with their role as health care professionals; to determine how they view the personal experience of illness, disease, disability or death; and to determine how this may impact upon their provision of patient care.Design, Setting and Participants: The project was underpinned by the film selection determined by considerate review, intensive scrutiny, contemplation and discourse by the research team. 7 films were selected, ranging from animation; foreign, documentary, biopic and Hollywood drama. Each film was shown discretely, in an acoustic lecture theatre projected onto a large screen to pre-registration student nurses (adult, child and mental health) across each year of study from different cohorts (n = 49).Method: A mixed qualitative method approach consisted of audio-recorded 5-minute reactions post film screening; coded questionnaires; and focus group. Findings were drawn from the impact of the films through thematic analysis of data sets and subjective text condensation categorised as: new insights looking through patient eyes; evoking emotion in student nurses; spiritual care; going to the moves to learn about the patient experience; self discovery through films; using films to link theory to practice.Results: Deeper learning through film as a powerful medium was identified in meeting the objectives of the study. Integration of film into pre registration curriculum, pedagogy, teaching and learning is recommended.Conclusion: The teaching potential of film stems from the visual process linked to human emotion and experience. Its impact has the power to not only help in learning the values that underpin nursing, but also for respecting the patient experience of disease, disability, death and its reality. (C) 2016 Elsevier Ltd. All rights reserved.