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首页> 外文期刊>International Journal of Integrated Care >Can Nursing Students Gain Person-Centred Skills while Supporting Citizen Contacts to use the Internet for Health?
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Can Nursing Students Gain Person-Centred Skills while Supporting Citizen Contacts to use the Internet for Health?

机译：护理学生在支持公民联系以使用Internet促进健康的同时还能获得以人为本的技能吗？

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Introduction : Service users may benefit from digital health services by having access to reliable health information and ways to communicate health issues, thus fostering greater engagement in self-care. The University of Plymouth’s nursing students study ‘Digital Professionalism’ as part of an introduction to e-health in their curriculum. The University seeks to benefit local communities through direct community action. This study aims to explore the feasibility of implementing a model for students to enhance citizens’ knowledge and use of the Internet for health, and to provide an opportunity for students to understand citizens in their social context. Theory/Method : A collaborative action research approach has been used to develop and trial a citizen contact model. This study has two iterative cycles using mixed methods; a third will be undertaken. The first cycle explores the proposed activity with academics, health professionals, the public, and students. The second and third cycle’s trial the model, exploring its feasibility with stakeholders. Results : First cycle: Six workshops were undertaken. There was general consensus introducing a citizen contact model into the nursing curriculum was a good idea. An online survey further explored the thoughts of workshop participants and stakeholders. All 57 survey respondents agreed that the proposed activity would give students a better understanding of the thoughts and experiences of citizen contacts, and the majority 52/57 agreed citizen contacts would learn about health services. However, a number of concerns were raised including recruitment of citizen contacts, safeguarding of participants, and workloads. In October 2017, 473 first year students were invited to demonstrate one of five health websites to a friend, relative or neighbour as part of an assessment. The benefits were explored without confronting the problems of recruitment, safeguarding, and workloads. Second cycle : The recruitment of citizen contacts unknown to students and the organisation of visits has been addressed with volunteer second year adult nursing students. Three students and five citizen contacts participated in the implementation phase. Citizen contacts were recruited via a service user organisation. Reflective logs from students and questionnaires from citizen contacts are currently being collected. All participants are invited to explore their experiences in a follow-up. The model offers students the chance to visit a carer or someone living with a long-term health condition in pairs, to support them in using the Internet for health in a non-clinical setting. Discussion : Although a third cycle of collaborative action research will be undertaken offering child nursing students a similar opportunity, the model has not yet achieved unanimous support and routine implementation. However, stakeholders seem to accept the model. If we can implement the model for routine use, it could improve student and citizen learning. Collaborative action research, through a number of cycles, appears an appropriate methodology. Lessons Learned : Working with stakeholders is key to developing a feasible approach. Limitations : The model is being developed within one Higher Education Institute HEI, we cannot be sure the findings will transfer across to other HEIs. Suggestions for Future Research : Future research would trial this model at other HEIs.
机译：简介：服务用户可以访问可靠的健康信息和沟通健康问题的方式，从而从数字健康服务中受益，从而促进自我保健的参与。普利茅斯大学的护理专业学生在课程中介绍“电子保健”时会学习“数字专业主义”。该大学力求通过直接的社区行动使当地社区受益。这项研究旨在探讨为学生实施模型以增强公民的知识和使用互联网促进健康的可行性，并为学生提供一个在其社会背景下了解公民的机会。理论/方法：协作行动研究方法已用于开发和试用公民联系模型。这项研究有两个使用混合方法的迭代周期。将进行三分之一。第一个周期与学者，卫生专业人员，公众和学生一起探讨拟议的活动。第二和第三周期对该模型进行了试验，探索了与利益相关者的可行性。结果：第一周期：举办了六次讲习班。人们普遍达成共识，将公民接触模型引入护理课程是一个好主意。一项在线调查进一步探讨了研讨会参与者和利益相关者的想法。所有57位接受调查的受访者都同意，拟议的活动将使学生更好地了解公民接触的思想和经验，并且大多数52/57位同意的公民接触将了解卫生服务。但是，引起了一些关注，包括招募公民联系人，保护参与者和工作量。 2017年10月，作为评估的一部分，邀请473名一年级学生向朋友，亲戚或邻居展示五个健康网站之一。在不面临招募，保障和工作量问题的情况下，探索了收益。第二周期：招募不知名的公民联络人，并且组织了第二年的成人志愿志愿志愿者参加探访活动。三名学生和五名公民联系人参加了实施阶段。公民联系人是通过服务用户组织招募的。目前正在收集学生的反思日志和公民联系人的调查表。邀请所有参与者在后续活动中探索他们的经验。该模型为学生提供了成对拜访看护者或长期健康状况人士的机会，以支持他们在非临床环境中使用Internet进行保健。讨论：尽管将进行第三阶段的合作行动研究，为儿童保育学生提供类似的机会，但是该模型尚未获得一致的支持和例行实施。但是，利益相关者似乎接受该模型。如果我们可以实现日常使用的模型，则可以改善学生和公民的学习。经过多个周期的协作行动研究似乎是一种合适的方法。经验教训：与利益相关者合作是开发可行方法的关键。局限性：该模型是在一个高等教育学院HEI内开发的，我们不能确定研究结果会转移到其他HEI。未来研究建议：未来研究将在其他HEI上试用此模型。

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