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Experiential education enhancing paramedic perspective and interpersonal communication with older patients: a controlled study. | LitMetric

Experiential education enhancing paramedic perspective and interpersonal communication with older patients: a controlled study.

BMC Med Educ

Department of Community Emergency Health & Paramedic Practice, Monash University, PO Box 527, McMahons Road, Frankston, VIC, 3199, Australia.

Published: October 2018

AI Article Synopsis

  • Paramedic education needs to focus on preparing students to care for the complex psychosocial needs of an aging population, beyond just physical health issues.
  • A study conducted in Australia compared the effectiveness of an educational program for paramedic students on interacting with older patients, finding that the intervention group significantly improved in understanding patients' perspectives and communication skills.
  • While both groups improved communication skills, the intervention group had a notably better understanding of older patients, with gender being a predictor of communication effectiveness.

Article Abstract

Background: Paramedics are required to provide care to an aging population with multidimensional and complex issues. As such educators need to prepare undergraduate paramedics to recognise, assess and manage a broad range of psychosocial care and support issues beyond somatic conditions. Experiential educational interventions with older people provide realistic and contextualised experience which can improve the provision of holistic patient focused care.

Methods: This was a single institution controlled before-after study with parallel groups, conducted in Australia in 2017. It was designed to compare the effectiveness of an educational program related to older people (intervention), verses no intervention (control) on paramedic student attitudes, knowledge and behavior with older patients.

Results: A total of 124 second year paramedic students were included in this study; 60 in the intervention and 64 in the control group. Their demographics and Time 1 baseline results were homogeneous. Both groups showed improvement in communication skills with real older patients (p < 0.001, η = 0.41) and (p < 0.001, η = 0.35). The intervention group showed greater improvements in the 'understands the patient's perspective' element for both the self-assessment (p < 0.001) and the clinician assessment (p = 0.01). Multiple linear regression Model 1 found gender (β = - 0.25; p = 0.01) was the best predictor of clinician-assessed communication, with females having higher scores. Knowledge and attitudes remained relatively unchanged for both groups.

Conclusions: As the first study to observe, measure and report on the interpersonal communication skills of paramedic student's with 'real' older patients we can report that these skills were from fair to good at baseline and improved from good to very good post the intervention. Overall improvement was notably better in the 'understanding the patients perspective element' for the intervention group who had conducted one-one visits with an older person.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195953PMC
http://dx.doi.org/10.1186/s12909-018-1341-9DOI Listing

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