在儿科住院第一年,冲突管理风格的演变
John Kulesa1,2, Enrique Escalante1,2, Nils Olsen1
1George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.
The clinical teacher
|July 25, 2023
概括
一年级居民的第一年.
科学领域:
- 医学教育 医学教育
- 医生培训 医生培训 医生培训
- 在医疗保健中解决冲突
背景情况:
- 一年级住院人员经常面临影响患者安全和护理质量的冲突.
- 目前的文献缺乏对居民冲突管理如何发展的详细理解.
- 有效的冲突解决对于住院人员的表现和患者的结果至关重要.
研究的目的:
- 评估第一年儿科住院医生之间的冲突管理风格的变化.
- 为了确定这些风格是否以及如何在居住的最初一年内发生变化.
- 为居民适应工作场所冲突提供见解.
主要方法:
- 在2021-2022年期间与第一年儿科住院医生进行的纵向调查研究.
- 利用托马斯-基尔曼冲突模式仪器来评估五种冲突管理模式.
- 在6个月间隔两次进行调查,以追踪主要冲突模式和得分的变化.
主要成果:
- 一半的居民经历了他们主要的冲突管理风格的转变.
- 变化通常涉及到低自信模式 (避免,适应) 之间的过渡.
- 观察到,使用妥协冲突管理模式的数量显著下降.
结论:
- 冲突管理风格的整体变化有限,这表明需要有针对性的教育干预.
- 居住计划应考虑制定战略,以提高居民的冲突处理技能.
- 积极的培训可以提高居民的适应能力和有效管理工作场所冲突.
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