临床监督中的微观管理:一个范围审查
Jihyun Lee1, Solmoe Ahn2, Marcus A Henning3
1Department of Dental Education & Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea. leeji1@snu.ac.kr.
BMC medical education
|August 9, 2023
概括
卫生专业教育中的微管理损害了实习生和患者护理. 本次审查强调了其负面影响,并呼吁进行更多的研究,以改善临床监督和专业发展.
科学领域:
- 医学教育 医学教育
- 健康 专业 教育 卫生 专业 教育
- 临床监督 临床监督
背景情况:
- 临床监督中的微观管理以过度控制为特征,对学习者的自主性,能力,福祉,团队合作和患者护理产生负面影响.
- 尽管其已知的有害影响,但缺乏对健康专业教育中的微观管理的全面审查.
研究的目的:
- 进行范围审查,探索卫生专业教育中临床监督中微管理的现有文献.
- 绘制当前关于这一现象的研究格局.
主要方法:
- 根据系统性审查的首选报告项目和范围审查的元分析扩展 (PRISMA-ScR) 准则进行了范围审查.
- 通过对八个数据库进行系统搜索,确定了12篇相关的文章进行分析.
主要成果:
- 微观管理涉及不有效的做法,如过度审查和过度控制,往往源于监督员的不信任或完美主义.
- 负面后果包括受训人员发育受损,幸福感降低,患者护理受损以及组织问题.
- 有效的替代方案包括授权学员,指导和清晰的沟通.
结论:
- 关于卫生专业教育监督中的微观管理的文献稀少,这表明需要进一步研究.
- 通过赋权,开放沟通和组织支持来解决微观管理问题,可以加强监督,专业发展和患者护理.
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