在跨学科创伤模拟过程中,压力和居民非技术技能之间的关系
Nicholas E Anton1, Amelia Collings2, Dimitrios I Athanasiadis1
1Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
Surgery
|July 2, 2023
概括
客观测量的压力会对居民在创伤护理方面的非技术技能产生负面影响. 通过心理技能培训来减轻压力对于改善外科团队的表现和患者安全至关重要.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 紧急医疗 紧急医疗
背景情况:
- 非技术技能对于患者护理和手术团队的有效性至关重要.
- 之前的研究将感知到的压力与较差的非技术技能联系起来.
- 客观评估的压力与非技术技能之间的关系需要进一步研究.
研究的目的:
- 评估客观测量的压力和居民的非技术技能之间的关系.
- 确定生理压力标志物与非技术技能表现的相关性.
主要方法:
- 紧急医疗和外科专科医生参与模拟创伤场景.
- 用心率变化和平均心率来测量客观压力.
- 非技术技能由教师使用创伤的非技术技能尺度进行评估.
主要成果:
- 较高的心率变化 (压力较低) 与整体非技术技能,领导力,沟通和决策有积极的相关性.
- 较高的平均心率 (较高的压力) 与沟通技巧负相关.
- 客观评估较高的压力与大多数领域中较差的非技术技能有关.
结论:
- 客观评估的压力严重损害了居民在创伤情况下的非技术技能.
- 压力对领导力,沟通和决策等关键技能产生不利影响.
- 实施心理技能培训可能有助于减少压力,并提高外科 residents 的非技术技能.
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