一个社交网络对居民基于价值的决策的影响分析
Lotte A Bock1, Daan Westra2, Cindy Y G Noben3
1L.A. Bock is a PhD student, Academy of Postgraduate Medical Education, Maastricht University Medical Centre, and School of Health Professions Education, Maastricht University, Maastricht, the Netherlands; ORCID: https://orcid.org/0000-0001-5249-4522 .
居民 居民 居民
科学领域:
- 医学教育 医学教育
- 医疗保健管理 医疗保健管理
- 社交网络分析 社交网络分析
背景情况:
- 基于价值的医疗保健 (VBHC) 对现代医疗保健系统至关重要.
- 培训居民以价值为基础的决策对于VBHC实施至关重要.
- 了解对居民决策的社会影响是有效培训的关键.
研究的目的:
- 探索影响居民基于价值的决策的社交网络.
- 确定影响居民基于价值的选择的直接和间接行为者.
- 了解互动方面在这些决策的形成中的作用.
主要方法:
- 半结构面试 (个人和小组) 与13个专业的17名住院医生进行.
- 参与式视觉映射来探索社交网络.
- 使用感应性主题方法对转录数据进行独立编码,然后进行社交网络分析.
主要成果:
- 居民基于价值的决策受到直接参与者 (如上级,患者,护士) 和间接参与者的影响.
- 个人,情境和机构互动方面显著影响决策.
- 居民对基于价值的决策的理解和应用是不同的,甚至在采访中也是如此.
结论:
- 基于价值的决策是由各种参与者和相互作用类型的复杂相互作用所塑造的.
- 经验丰富的医疗和护理专业人员是关键的学习资源.
- 没有来自社会和"隐藏课程"环境的强化,对居民的正式VBHC教育可能不那么有效.
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