麻醉学和重症监护中的微攻击:个体和机构的改变方法
Saroo Sharda1, Kat Butler2, Maha Al Mandhari3
1Department of Anesthesia, Faculty of Health Sciences, McMaster University, 1280 Main St. W., Hamilton, ON, L8S 4L8, Canada. shards@mcmaster.ca.
概括
被称为微型攻击的微妙侮辱伤害了麻醉和重症监护中的医生. 本综述提供了管理这些事件和促进系统变革的策略.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 麻醉学 麻醉学
背景情况:
- 微型攻击是微妙的侮辱,反映了伤害边缘化群体的社会偏见.
- 这些事件在医生和在术后和重症监护机构的学习者中很普遍.
- 由于缺乏知识或明确的协议,目前对微型攻击的反应往往是不充分的.
研究的目的:
- 在麻醉和重症监护中定义和示例化微侵略.
- 在个人和机构层面提供可操作的策略来管理微型攻击.
- 将微型攻击置于系统歧视的背景中,并鼓励更广泛的解决方案.
主要方法:
- 对医学中微型攻击现有文献的叙事综述.
- 包括特定于麻醉和重症监护环境的例子.
- 讨论特权和权力,以告知干预的概念.
主要成果:
- 微型攻击在麻醉和重症监护中以各种形式表现出来,造成明显的伤害.
- 有效的管理需要个人应对机制和机构政策.
- 了解系统性问题对于开发可持续解决方案至关重要.
结论:
- 解决微型攻击对于促进麻醉和重症监护中的公平和包容性环境至关重要.
- 个人和机构的策略可以减轻微型攻击的影响.
- 提高对特权和权力动态的认识,可以推动系统性变革.
更多相关视频
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
8.9K
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.2K
相关概念视频
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Standards of Care I
731
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
731
Current Trends in Nursing II
1.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.3K
