Nurses’ Contributions in Rural Family Medicine Education: A Mixed-Method Approach

Ohta, Ryuichi; Maejma, Satoko; Sano, Chiaki

doi:10.3390/ijerph19053090

Cited by 8 publications

(10 citation statements)

References 49 publications

(61 reference statements)

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“…In rural contexts, community-based medical education accommodates general medicine education, which can be applied by various professionals. For effective education, general medicine education should include various stakeholders, such as nurses and citizens, to improve the quality of education [30,38]. Rural communitybased medical education may lack medical educators because of the lack of physicians in rural contexts.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study

Nishikawa

Ohta²,

Sano

2022

IJERPH

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General medicine, as the Japanese version of primary care or family medicine, is critical for healthcare in aging societies. Medical students’ perceptions of general medicine and education might be associated with changes in the number of general physicians. This study aimed to clarify the association between these perceptions and students’ preferences for general medicine. A cross-sectional survey was conducted among Japanese medical students using a questionnaire on their perceptions regarding general medicine, background, and preferences for general medicine (knowledge, interest, motivation, and intention). The response rate was 70.3% (490/697). There was a large percentage gap between interest and motivation; therefore, a logistic regression analysis was performed to investigate the cause of this difference. The perceptions that general medicine meets the needs of society and the lack of general medicine educators were positively associated with motivation to become a general physician. In contrast, perceptions of lack of exposure to general medicine beyond the curriculum and inaccessibility were negatively associated with motivation. Medical students’ motivation to pursue general medicine may increase with improvements in flexible general medicine education and accessibility. Future research should investigate the relationship between students’ perceptions of general medicine and their motivation to become general physicians through longitudinal studies.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study

Nishikawa

Ohta²,

Sano

2022

IJERPH

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“…As this article shows, nurses’ suggestions and dialogue with medical learners and teachers improve their professionalism and patient care. For effective learning from nurses, relationships between medical learners, teachers, and nurses need to be established [ 37 ]. Nurses at rural hospitals are good mentors, providing strong examples of professionalism and interprofessional collaboration and facilitating the transition of medical learners into practitioners [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…For effective learning from nurses, relationships between medical learners, teachers, and nurses need to be established [ 37 ]. Nurses at rural hospitals are good mentors, providing strong examples of professionalism and interprofessional collaboration and facilitating the transition of medical learners into practitioners [ 37 ]. Medical learners learn professionalism and interprofessional collaboration through discussions with nurses in clinical situations.…”

Section: Discussionmentioning

confidence: 99%

“…In bedside teaching, residents have to discuss their patients’ condition with nurses and modify their working style from previous clinical styles. Rural nurses can teach rural hospital culture and alleviate residents’ work difficulties [ 37 ]. Rural nurses can observe learners in clinical situations, including bedside teaching, and give constructive feedback to both teachers and learners.…”

Section: Discussionmentioning

confidence: 99%

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Bedside Teaching in Rural Family Medicine Education in Japan

Ohta¹,

Sano

2022

IJERPH

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Bedside teaching is essential in family medicine education so that residents may learn about various clinical conditions and develop professional skills. In particular, bedside teaching is useful in a rural context because rural family medicine deals with a broad scope of biopsychosocial problems among older patients. Accordingly, based on an inductive thematic analysis, we propose a framework for bedside teaching in rural family medicine education, which consists of four themes: accommodation of different learners, near-peer learning, the change in engagement of medical teachers in bedside teaching, and driving interpersonal collaboration. Bedside teaching can promote interactions between different medical learners. Near-peer learning in bedside teaching compensates for the limited availability of educators and improves learners’ motivation for self-directed learning. Through bedside teaching, medical learners can observe each other and provide constructive feedback, thereby improving their relationships and learning. For effective bedside teaching, medical educators should facilitate learners and collaborate with other medical professionals. Additionally, bedside teaching should accommodate a variety of learners, facilitate near-peer and self-directed learning, educators’ involvement based on cognitive apprenticeship, along with interprofessional collaboration with nurses. Interprofessional collaboration between rural family medicine teachers, learners, and nurses may improve the quality of patient care due to the increased understanding between patients and other medical staff in hospitals.

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“…Rural primary care professionals and family physicians should become familiar with the language and communication barriers that foreigners experience in rural contexts. In addition, they should share these problems in interprofessional collaboration to improve the future of rural medicine and the rural community [ 17 , 18 ]. Each rural community has a different background regarding issues with foreigners and health-seeking behaviors [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Rural Easy Japanese as a Method of Mitigating Language Barriers Among Foreigners Seeking Medical Care in Rural Japan

Ohta¹,

Sano²

2022

Cureus

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Mitigating difficulties in communication is vital in multicultural societies. Particularly, foreigners face greater communication difficulties because of language barriers, posing a challenge to both themselves and indigenous people. In Japan, the increase in the number of foreigners has driven the use of Easy Japanese, a free online program of Japanese language lessons. Easy Japanese can facilitate communication between medical professionals and foreigners. Easy Japanese is mainly characterized by short sentences, an upfront conclusion, and avoiding polite Japanese words when collaborating with translators. This communication method should prevail not only in urban areas but also in rural areas, and can help individuals in rural contexts prepare for an increase in the number of foreigners.

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Nurses’ Contributions in Rural Family Medicine Education: A Mixed-Method Approach

Cited by 8 publications

References 49 publications

Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study

Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study

Bedside Teaching in Rural Family Medicine Education in Japan

Rural Easy Japanese as a Method of Mitigating Language Barriers Among Foreigners Seeking Medical Care in Rural Japan

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