Table 2. Illustration of research themes and key constructs identified across disciplines.
| Research Question | Key Themes | Key constructs | Perspectives of Medical students | Perspectives of Nursing students | Perspectives of Physiotherapy students | Perspectives of SALT students |
|---|---|---|---|---|---|---|
| Can you tell us how you are taught within your course about what is patient-centred care and how it can be applied in practice? | Biomedical, Fragmented and Artificial teaching methods at University.
Current Strategies |
Curriculum content in early years: | Modules largely focused on biomedical knowledge | Shared modules with other nursing streams improved perceptions. | Specific modules on PCC enabled understanding. | Theory of models of care helpful to relate to PCC. |
| Case studies and simulations: | Case studies are unrealistic | Simulators are artificial | Simulation and case studies are useful for practice in a safe environment. | |||
| Sessions on communication skills: | Skills taught by specialists from interactive unit. | |||||
| Can you tell us how you are taught on your clinical placements about what is patient-centred care and how it can be applied in practice? | Learning from placement experiences. | Length and diversity of placements: | Placements were short and less diverse which did not help improve awareness or continuity of care.
Unscheduled time with patient helps Geographical location of placements exposed them to cultural diversity |
Placements were longer and diverse which helped understand variability in PCC. | Placements were longer and diverse which helped understand variability in PCC. | Placements were shorter, fewer and less diverse |
| Role models | Scarcity of positive role models to emulate. | Scarcity of positive role models to emulate. | Observation of experienced therapists helped to learn PCC behaviours. | |||
| Interprofessional learning opportunities | Interprofessional observation | Multidisciplinary meetings
Bedside-handovers |
Multidisciplinary meetings | Multidisciplinary communication | ||
| Family focus, poignant and personal experiential learning | Experiencing difficult situations.
Family involvement in care of patient. Personal experiences of ill-health. |
More time as a student to establish rapport. | Handling patients’ difficult queries | |||
| What do you think is the best way to teach principles and delivery of patient-centred care? | Suggested strategies for a patient-centred curriculum | Prepping for the real world | Understanding of human psychology | Team-working through inter-professional learning | Patient-centred goal setting and creating awareness about limitations | |
| Reflective practice | Self-reflection and awareness of personality | Reflections on practice with peers
Placement debrief days |
Paper-based patients and mentor facilitated reflections | Paper-based reflections | ||
| Role-modelling | Feedback and deeper conversations with mentors | Feedback and deeper conversations with mentors
Shadowing other professionals |
Feedback from mentors | |||
| Placement modifications | Earlier and continuity of placements.
PCC principles reiterated on placement including site specific strategies |
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| Patients as teachers | Patient mentoring on placements | Patients delivering
Classroom sessions |