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Enhancing an Experience-Based Patient-Initiated Mistreatment Training
Academic Medicine : Journal of the Association of American Medical Colleges
|September 16, 2024
Summary
Healthcare professionals and trainees experience mistreatment, particularly women and marginalized groups. A new curriculum improved participants' confidence in addressing mistreatment and using learned skills.
Area of Science:
- Medical Education
- Healthcare Professional Well-being
- Workplace Safety
Background:
- Patient mistreatment of healthcare workers and trainees is common.
- This mistreatment negatively impacts individuals and disproportionately affects women and marginalized groups.
Purpose of the Study:
- To develop and evaluate a practice-based curriculum to address mistreatment in healthcare settings.
- To improve healthcare workers' and learners' ability to respond to and manage mistreatment.
Main Methods:
- A curriculum was designed including literature review, response frameworks, and simulated mistreatment scenarios.
- The curriculum was expanded to ensure diversity in mistreatment representation.
- Effectiveness was measured using pre- and post-curriculum surveys.
Main Results:
- Post-curriculum surveys showed improved self-reported plans to use learned skills (4.76 to 4.85, P = .006).
- Participants reported an increased plan to address mistreatment with their teams (4.75 to 4.81, P = .045).
Conclusions:
- Healthcare settings must be safe, respectful, and welcoming for all.
- This curriculum provides a foundation for broader implementation to support all patient-facing healthcare workers and learners.
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