考虑文化和冲突:一种对积极旁观者干预的新方法
Kathryn C Stephens1, Tené Redman1, Reneé Williams2
1Fourth-Year Resident, Department of Psychiatry and Behavioral Sciences, Stanford Hospitals and Clinics.
MedEdPORTAL : the journal of teaching and learning resources
|August 31, 2023
概括
一个心理上知情的旁观者干预研讨会提高了医疗学员和教师对工作场所微型攻击的干预意愿. 这项培训增强了理解,并促进了在学术医学环境中的行为变化.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 社会科学 社会科学 社会科学
背景情况:
- 工作场所的微型攻击在临床环境中很常见,对心理健康产生负面影响,并增加了医生和学生的倦怠.
- 现有的旁观者研讨会往往缺乏关注学术医学环境中的个人动机和行为模式.
研究的目的:
- 为学术医学专业人员实施和评估对微侵略培训的心理知情方法.
- 提高参与者对微型攻击的理解,以及他们愿意实施行为改变的意愿.
主要方法:
- 在虚拟的1小时主动旁观者干预研讨会之前和之后,进行了一项评估干预意愿的调查.
- 研讨会涵盖了文化影响,冲突管理风格以及使用10种临床歧视情景的直接/间接干预方法.
- 统计分析 (Wilcoxon签名排名测试) 比较了研讨会前后的分数.
主要成果:
- 共有78个人 (学生,居民,教师) 参与.
- 在没有先前精神病学或心理学培训的54名参与者中,参与干预的意愿得分在研讨会后显著改善 (Z = -6.339,p < .001).
- 研讨会有效地提高了参与者应对微型攻击的准备.
结论:
- 一个精神病学知情和文化敏感的积极旁观者干预研讨会可以有效地促进学术医学中的直立行为.
- 这种方法增强了参与者的干预意愿,为未来的培训提供了一个有价值的模型.
- 这些发现支持将心理知情策略纳入医疗教育,以打击微型攻击.
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