关于当前态度的观点,启用和障碍,以获得手术知情同意为医生在培训的医生
Mary Teoh1, Daniel Jia Wei Lee2, David Cooke2
1General and Colorectal Surgery, Sir Charles Gairdner Hospital, Perth, AUS.
Cureus
|June 28, 2023
概括
受训医生 (DiT) 经常因缺乏经验和时间限制而难以获得外科知情同意 (SIC). 加强培训和机构支持对于改善初级医生中SIC实践至关重要.
科学领域:
- 医学教育 医学教育
- 在外科手术实践中.
- 患者安全 患者安全
背景情况:
- 手术知情同意 (SIC) 在当代医疗实践中至关重要.
- 尽管SIC过程很重要,但它经常面临挑战和投诉.
- 本研究探讨了在获得SIC.培训中的医生 (DiT) 的观点.
研究的目的:
- 调查DiT对获得SIC的当前态度.
- 在 DiT 中识别影响 SIC 实践的推动因素和障碍.
- 为改进SIC培训和实施的战略提供信息.
主要方法:
- 在西澳大利亚的三个卫生地区,对1652名DiT进行了匿名在线调查.
- 该调查包括多个答案排名,二元化的定量和定性问题.
- 数据使用SPSS版本27进行分析,响应率为23% (n=380).
主要成果:
- 只有57.4%的DiT感到有信心获得SIC,而67.4%正确识别了SIC关键组件.
- 对SIC的信心与DiT资历,SIC组件的正确识别和先前的SIC培训 (p<0.001) 有积极关联.
- 主要障碍包括时间限制,缺乏经验和缺乏高级支持;推动者是支持部门,培训和明确的指导方针.
结论:
- 虽然DiT可以识别有效的SIC组件,但实际应用需要改进.
- 正式的SIC培训,特别是交互式研讨会和电子学习,是DiT非常想要的.
- 解决时间和缺乏经验等障碍,同时促进支持性环境,对于有效的SIC至关重要.
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