英国正在接受培训的医生行使代理权的限制和负担能力:对话式分析
Karen Mattick1, Anna Goulding2, Daniele Carrieri1
1University of Exeter Medical School, University of Exeter, Exeter, UK.
Medical education
|June 9, 2023
概括
医学教育旨在培养临床医生为有效的实践和终身学习而采取行动. 组织变化,如改善诱导和反,可以增强医生培训机构和患者护理.
科学领域:
- 医学教育 医学教育
- 卫生社会学 卫生社会学
- 组织心理学 组织心理学
背景情况:
- 医学教育致力于培养临床医生机构,以有效实践和持续学习.
- 有限的研究探讨了组织结构如何影响临床医生机构.
- 了解这些动态对于确定组织变革优先事项至关重要.
研究的目的:
- 确定组织变化,可以增强医生在培训中的机构.
- 分析正在培训的医生描述的代理的关键时刻.
主要方法:
- 国家混合方法研究计划的二次定性分析.
- 采用对话式方法对22次半结构面试进行了采访,采访了英国正在接受培训的医生.
- 社会文化理论视角用于分析代理的时刻.
主要成果:
- 医生在培训中描述了团队工作中的代理,但感到不参与塑造更广泛的医疗保健系统.
- 确定了关键的组织变化:改善引入,平滑责任负担和及时反.
- 当讨论团队动态时使用的对抗性隐喻,与有关系统级代理机构的辞职形成对比.
结论:
- 组织变化是必要的,以支持医生在培训的有效实践和学习.
- 加强团队动态和赋予学员政策影响力的能力至关重要.
- 针对正在培训的医生提供有针对性的组织支持最终有利于患者的护理.
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