緊急医療サービスの職員における臨床的意思決定とストレス要因の管理に対する危機管理訓練の影響を調査する:ランダム化制御試験
Ghasem Babamiri1, Zohreh Karimiankakolaki2
1Social Determinants of Health Research Center, Shk.C., Islamic Azad University, Shahrekord, Iran.
BMC medical education
|August 21, 2025
まとめ
危機管理訓練は臨床的意思決定を大幅に改善し,緊急医療サービス (EMS) スタッフの仕事のストレスを軽減しました. この介入により,病院前の緊急治療が改善され,スタッフにはより優れた対処力と意思決定能力が備わります.
科学分野:
- 緊急 医療
- 医療管理
- 心理学
背景:
- 緊急医療サービス (EMS) のスタッフは ストレスの高い環境で活動し,効果的な意思決定を必要とする 危機的な状況に直面します.
- 高いレベルの緊張と仕事のストレスは 病院前の救急スタッフにとって 固有の課題です
- EMSスタッフの危機管理に関する専門的な訓練は,患者のケアとスタッフの福祉の改善に不可欠です.
研究 の 目的:
- EMSスタッフの臨床的意思決定能力に対する危機管理訓練の影響を評価する.
- EMSスタッフが経験するストレス要因を軽減するための危機管理介入の有効性を評価する.
- 病院前での危機管理訓練,ストレス軽減,プロセス改善の関係を調査する.
主な方法:
- ランダム化制御試験は,シャレコルド医科大学から64人のEMSスタッフを対象に並行グループで行われました.
- 参加者はコントロールグループと介入グループに分けられ,介入グループは2週間にわたって危機と危機管理に関する32回のトレーニングを受けた.
- 臨床的意思決定,仕事のストレス,人口統計学的特徴は,介入前と後に検証されたアンケートを使用して評価されました.
主要な成果:
- 臨床的意思決定において,介入前のグループ間で有意な差異は認められなかった (p > 0. 05).
- 介入後,対照群と比較して臨床的意思決定において統計的に有意な改善が認められた (p < 0. 05).
- 介入グループでは,訓練前から訓練後までの意思決定スコア (p < 0. 05) が著しく上昇し,分析的・直感的な意思決定が最も一般的な戦略であった.
結論:
- 危機管理訓練の介入は,病院前の救急スタッフの仕事のストレスと緊張を減らすのに効果的です.
- 研修プログラムは EMSスタッフの臨床的意思決定プロセスを大幅に強化します.
- 危機管理訓練を実施することで,救急医療従事者の業績と福祉が向上します.
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