探索在住院的适应性专业知识:不确定性的 (错过的) 机会
Maria Louise Gamborg1,2, Maria Mylopoulos3, Mimi Mehlsen4
1Centre for Educational Development (CED), Aarhus University, Trøjborgvej 82-82, Dk-8000, Aarhus C, Denmark. gamborg@clin.au.dk.
概括
由于不确定性和专业身份压力,急诊室 (ED) 的居民在适应性专业知识方面扎. 支持居民接受临床不确定性对于发展紧急医学的适应性专业知识至关重要.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 认知民族学 认知民族学
背景情况:
- 为急诊室 (ED) 准备新手医生需要培养适应性专业知识.
- 人们对支持住户在ED环境中发展适应性专业知识知之甚少.
研究的目的:
- 描述影响居民在ED中的适应性实践的上下文因素.
- 了解居民如何与老年患者和不确定性进行互动.
主要方法:
- 在两个丹麦ED的认知民族学研究.
- 80小时的观察27名住院医生治疗32名老年患者.
主要成果:
- 居民流地使用了适应性和常规实践.
- 不确定性,通常来自工作流程中断,挑战了适应性实践.
- 被认为与经验丰富的医生匹配的期望阻碍了不确定性容忍和适应性实践.
结论:
- 将临床不确定性与临床工作场所结合起来,对于住户的适应性专业知识发展至关重要.
- 职业认同和感知到的期望显著影响居民管理不确定性和适应能力.
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