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An exploratory study of medical students’ experiences of going on home visits to persons with disabilities within a rural primary health care setting
Thesis (MPhil)--Stellenbosch University, 2022.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2022
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| _version_ | 1867613974099394560 |
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| access_status_str | Open Access |
| author | Van Zyl, Maria Elizabeth |
| author2 | Archer, Elize |
| author_browse | Archer, Elize Van Zyl, Maria Elizabeth |
| author_facet | Archer, Elize Van Zyl, Maria Elizabeth |
| author_sort | Van Zyl, Maria Elizabeth |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MPhil)--Stellenbosch University, 2022. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/125020 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:44:39.798Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/125020 An exploratory study of medical students’ experiences of going on home visits to persons with disabilities within a rural primary health care setting Van Zyl, Maria Elizabeth Archer, Elize Stellenbosch University. Faculty of Medicine and Health Sciences. Centre for Health Professions Education. Home visits (Education) -- Medical personnel Learning disabled -- Services for Patient-centered health care UCTD Thesis (MPhil)--Stellenbosch University, 2022. ENGLISH SUMMARY: The global call to transform health professions education to address health inequalities and promote social justice has led to health professions education encouraging curricula reform and renewal to integrate more opportunities for transformative learning. Medical students at the Faculty of Medicine and Health Sciences at Stellenbosch University participate in a 13 -week primary health care clinical rotation, which is shared between the fields of Family Medicine, Public Health, and Disability and Rehabilitation. During the middle phase, students are placed in rural areas in the Western and Northern Cape in South Africa. In these settings, students are required to go on home visits to persons with disabilities and critically reflect on this experience, as part of their prescribed learning activities. Medical students at SU are exposed to very few home visits during their undergraduate training and no formal research has been conducted on this experience during their primary health care clinical rotation. Furthermore, a need to understand the value of this learning activity from the students’ perspective and explore their perceptions regarding the influence of home visits in their development as a doctor was identified. This qualitative study aimed to offer a comprehensive analysis of the students’ experiences and evaluate whether this learning activity facilitated transformative learning. Four themes were identified during the thematic analysis of written critical reflections submitted shortly after going on the home visits as well as semi-structured individual interviews conducted two months later. These themes included the educational value, opportunities topractice person-centred communication, a positive collaborative experience, and finally, the transformative learning experience that going on home visits had on students’ personal and professional development. These findings offered similar results to those of other studies and presented student-voiced motivations for including more home visits in undergraduate medical student training. However, the need to integrate holistic person-centred frameworks into their existingconsultation approaches and how this may contribute to their patient management in other clinical contexts can be further explored. Further studies on the presence of disorienting dilemmas within a curriculum challenged to transform health professions education and how these contribute towards students’ performance and wellbeing can be valuable to determine the type of support needed to guidestudents on their journey of being and becoming a doctor. AFRIKAANSE OPSOMMING: Die globale versoek is om die opleiding van gesondheidsberoepe aan te spreek in verband met ongelykhede en sosiale regverdigheid. Dit kan bewerkstellig word deur die kurrikula aan te pas om hervorming en hernuwing te integreer. Sodoende word meer geleenthede vir transformerende opleiding geskep. Mediese studente van die Fakulteit Gesondheidswetenskappe, Universiteit van Stellenbosch, neem deel aan ‘n 13-week kliniese rotasie in primere gesondheidsorg. Hierdie rotasie word verdeel tussen die verskillende velde van Huisartskunde en Primere Sorg, Gesondheidstelsels en Openbare Gesondheid, asook Gestremdheid en Rehabilitasie. Gedurende die middel fase van die rotasie word studente in landelike areas in die Wes- en Noord Kaap in Suid Afrika geplaas. In hierdie areas word daar van studente verwag om tuisbesoeke by mense met gestremdhede te doen. As deel van hul voorgestelde leerwyse, moet hulle krities reflekteer op wat hulle ondervind het. Mediese studente aan die US word min blootgestel aan tuisbesoeke gedurende hul voorgraadse opleiding. Daar is ook geen formele navorsing gedoen oor hierdie ondervinding gedurende hul primere gesondheidsorg kliniese rotasie nie. Verder is daar ‘n behoefte aan die waarde van hierdie leerwyse vanuit die studente se perspektief en ook om hul persepsies te ondersoek en te identifiseer betreffende die invloed van tuisbesoeke in hul ontwikkeling as dokters. Hierdie kwalitatiewe studie was gemik op ‘n volledige analise van die studente se ondervindings en die evaluasie van hierdie leerwyse. Dit het getoon dat dit wel transformerende leerwyse fasiliteer. Vier temas is geidentifiseer gedurende die tematiese analise van geskrewe kritiese refleksies wat kort na die tuisbesoeke ingehandig is. Semi-gestrukturere individuele onderhoude was gevoer twee maande later. Hierdie temas het opvoedkundige waarde, geleenthede om persoongesentreerde kommunikasie uit te oefen, positiewe meewerkingsondervinding, en laaste die transformerende leer-ondervinding wat die tuisbesoeke aan persoonlike- en professionele ontwikkeling gebied het. Hierdie bevindings het ooreenkomste getoon met die van ander studies. Studente het hul menings gelig en voorgele oor die motivering vir die insluiting van meer tuisbesoeke gedurende voorgraadse opleiding van mediese studente. Dit is egter nodig om holistiese persoongesentreerde raamwerke in hul bestaande konsultasie benadering te integreer en hoe dit mag bydra tot hul pasient bestuur in ander kliniese kontekste wat verder verleen kan word. Verdere studies oor die teenwoordigheid van disorienterende dilemmas binne in ‘n kurrikulum wat uitgedaag word om Gesondheidsberoepe se opleiding te transformeer is aanbeveel. Ook hoe dit kan bydra tot studente se prestasie en welstand kan waardevol wees om vas te stel wat die tipe van ondersteuning nodig sal wees om studente te lei op hul pad om dokters te word en te wees. Masters 2022-02-04T06:51:11Z 2022-04-29T12:50:40Z 2023-03-18T03:00:12Z 2022-04 Thesis http://hdl.handle.net/10019.1/125020 en_ZA Stellenbosch University vi, 73 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Home visits (Education) -- Medical personnel Learning disabled -- Services for Patient-centered health care UCTD Van Zyl, Maria Elizabeth An exploratory study of medical students’ experiences of going on home visits to persons with disabilities within a rural primary health care setting |
| title | An exploratory study of medical students’ experiences of going on home visits to persons with disabilities within a rural primary health care setting |
| title_full | An exploratory study of medical students’ experiences of going on home visits to persons with disabilities within a rural primary health care setting |
| title_fullStr | An exploratory study of medical students’ experiences of going on home visits to persons with disabilities within a rural primary health care setting |
| title_full_unstemmed | An exploratory study of medical students’ experiences of going on home visits to persons with disabilities within a rural primary health care setting |
| title_short | An exploratory study of medical students’ experiences of going on home visits to persons with disabilities within a rural primary health care setting |
| title_sort | exploratory study of medical students experiences of going on home visits to persons with disabilities within a rural primary health care setting |
| topic | Home visits (Education) -- Medical personnel Learning disabled -- Services for Patient-centered health care UCTD |
| url | http://hdl.handle.net/10019.1/125020 |
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