Students with an autonomous role in hospital care – patients perceptions

Scheffer, Christian; Valk-Draad, Maria Paula; Tauschel, Diethard; Büssing, Arndt; Humbroich, Knut; Längler, Alfred; Zuzak, Tycho Jan; Köster, Wolf; Edelhäuser, Friedrich; Lutz, Gabriele

doi:10.1080/0142159x.2017.1418504

Cited by 16 publications

(10 citation statements)

References 48 publications

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“…Educational research provides important insights into the clinical trainings of healthcare professionals, the quality and issues of medical training, and the AM education, including medical students' possible contributions to patient-centered care [126, 127]. Furthermore, integration of AM (or parts of it) into established healthcare systems could be outlined and investigated, and the impact of AM courses on medical students' perspectives in pregraduate and postgraduate settings could be evaluated [128, 129]; furthermore, the impact of integrative medicine training on a mixed AM and non-AM group of practitioners, preferably in a multidisciplinary context, could be evaluated [130], as well as the influence of stress on burnout symptoms and empathy of care providers and their spiritual needs [57, 131].…”

Section: Results: An Integrative Research Strategymentioning

confidence: 99%

Contributing to Global Health: Development of a Consensus-Based Whole Systems Research Strategy for Anthroposophic Medicine

Kienle

Ben‐Arye

Berger

et al. 2019

Evidence-Based Complementary and Alternative Medicine

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Background Whole medicine and health systems like traditional and complementary medicine systems (T&CM) are part of healthcare around the world. One key feature of T&CM is its focus on patient-centered and multimodal care and the integration of intercultural perspectives in a wide range of settings. It may contribute to good health and well being for people as part of the Sustainable Development Goals of the United Nations. The authentic, rigorous, and fair evaluation of such a medical system, with its inherent complexity and individualization, imposes methodological challenges. Hence, we propose a broad research strategy to test and characterize its possible contribution to health. Methods To develop a research strategy for a specific T&CM system, Anthroposophic Medicine (AM), applying multimodal integrative healthcare based on a four-level concept of man, we used a three-phase consensus process with experts and key stakeholders, consisting of (1) premeeting methodological literature and AM research review and interviews to supplement or revise items of the research strategy and tailor them to AM research, (2) face-to-face consensus meetings further developing and tailoring the strategy, and (3) postmeeting feedback and review, followed by finalization. Results Currently, AM covers many fields of medical specialties in varied levels of healthcare settings, such as outpatient and inpatient; primary, secondary, and tertiary care; and health education and pedagogy. It is by definition integrated with conventional medicine in the public healthcare system. It applies specific medicines, nursing techniques, arts therapies, eurythmy therapy, rhythmical massage, counseling, and psychotherapy, and it is provided by medical doctors, nurses, therapists, midwives, and nutritionists. A research strategy authentic to this level of complexity should comprise items with a focus on (I) efficacy and effectiveness, divided into (a) evaluation of the multimodal and multidisciplinary medical system as a whole, or of complex multimodal therapy concept, (b) a reasonable amount of methodologically rigorous, confirmatory randomized controlled trials on exemplary pharmacological and nonpharmacological therapies and indications, (c) a wide range of interventions and patient-centered care strategies with less extensive formats like well-conducted small trails, observational studies, and high-quality case reports and series, or subgroup analyses from whole-system studies, or health service research; (II) safety; (III) economics; (IV) evidence synthesis; (V) methodologic issues; (VI) biomedical, physiological, pharmacological, pharmaceutical, psychological, anthropological, and nosological issues as well as innovation and development; (VI) patient perspective and involvement, public needs, and ethics; (VII) educational matters and professionalism; and (IX) disease prevention, health promotion, and public health. Conclusion The research strategy extends to and complements the prevailing hierarchical system by introducing a broad “evidence hous...

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Section: Results: An Integrative Research Strategymentioning

confidence: 99%

Contributing to Global Health: Development of a Consensus-Based Whole Systems Research Strategy for Anthroposophic Medicine

Kienle

Ben‐Arye

Berger

et al. 2019

Evidence-Based Complementary and Alternative Medicine

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show abstract

“…It seeks to supplement scientific methodology in medicine with idealistic philosophy, a spiritual view of humanity [12], and implementation of training formats with humanist characteristics [13]. Furthermore its aim is to research and test the contribution of anthroposophic medicine to the development of medical training and medicine as a whole [14]. The content of the IBAM is closely linked to the content of the central curriculum and integrates longitudinally into regular medical studies [15].…”

Section: Resultsmentioning

confidence: 99%

History and development of medical studies at the University of Witten/Herdecke – an example of “continuous reform”

Frost

Edelhäuser

Hofmann

et al. 2019

GMS Journal for Medical Education; 36(5):Doc61

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“…It underlines their potential as flexible and motivated workforce willing to contribute to healthcare also before graduation. While the pandemic as an exceptional situation only allows generalizations to a limited extent, other educational projects like student-run clinics ( 42 ), students as health coaches ( 43 ), and clinical education wards ( 44 ) are further examples of students contributing to healthcare and adding value to the healthcare system ( 45 ).…”

Section: Discussionmentioning

confidence: 99%

Motivations and Experiences of Volunteering Medical Students in the COVID-19 Pandemic—Results of a Survey in Germany

et al. 2022

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Introduction: During the first lockdown of the COVID-19 pandemic, several medical students volunteered as assistants in hospitals, public health departments, and other healthcare services to support and substitute permanent staff. The underlying motivations to help are unclear. Therefore, we aimed to assess medical students' motivations and influencing variables such as perceived stress and burden, compassion, and indicators of spirituality.Materials and Methods: Cross-sectional survey (convenience sample) from May to June 2020, directly after the first lockdown, among medical students with standardized instruments. One of them is the 12-item Motivations to Help Scale (MtHS) which was designed to fit to the population of medical students.Results: Among the 731 completers, 52% were working as volunteers during the pandemic in different medical areas, most in hospitals and only a few in other areas (9% in public health departments, 6% in outpatient services), 37% would have liked to work but did not get an appropriate employment, and 21% did not intend to voluntarily support the hospital staff. Their mental burden during work was rather low, while they were somewhat affected by the personal fate of the patients. With respect to their motivations to volunteer as measured with the MtHS, Altruistic Intentions/Helping (Cronbach's alpha = 0.898) scored highest, followed by Practical Application/Learning (Cronbach's alpha = 0.808), while Role Testing/Recognition (Cronbach's alpha = 0.702) scored lowest. Those who volunteered had significantly higher scores for Altruistic Intentions/Helping and Practical Application/Learning, while the different phases of medical study (preclinical phase, clinical phase, and higher semester) had no influence on the extent of the students' motivation. The motivations to help were not at all or only marginally (inversely) related to indicators of stress and burden, while Altruistic Intentions/Helping was weakly related to affections by patients' fate.Conclusions: Medical students' intention to support healthcare professionals as supplementary assistants were both prosocial and proself motivated. With this opportunity to practically apply their current knowledge and to improve their skills and competences, volunteering students might be more motivated for their further studies and their future career as compassionate medical doctors.

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Students with an autonomous role in hospital care – patients perceptions

Abstract: Our study indicates that SAP of final-year medical students is appreciated by patients with high overall quality of care and patient-centeredness.

Cited by 16 publications

References 48 publications

Contributing to Global Health: Development of a Consensus-Based Whole Systems Research Strategy for Anthroposophic Medicine

Contributing to Global Health: Development of a Consensus-Based Whole Systems Research Strategy for Anthroposophic Medicine

History and development of medical studies at the University of Witten/Herdecke – an example of “continuous reform”

Motivations and Experiences of Volunteering Medical Students in the COVID-19 Pandemic—Results of a Survey in Germany

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