学术机构的实习生所感知的反文化:一种混合方法研究
Uma Padhye Phatak1,2,3, John Encandela1,4, Michael Green1,4,5
1Yale School of Medicine.
Hospital pediatrics
|October 4, 2023
概括
与同学相比,居民实习生认为反文化不那么有利,这会影响技能获得. 效率要求和优先考虑礼貌而不是坦率的文化阻碍了反质量,特别是在儿科子专业.
科学领域:
- 医学教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 专业发展专业发展
背景情况:
- 强大的反文化对于培养基本的患者护理技能至关重要.
- 机构反机制的缺陷可能会阻碍学员获得能力.
- 这项研究涉及居民和同学实习生之间感知到的反环境.
研究的目的:
- 评估居民和同学实习生所感知的反文化.
- 确定影响机构环境中反质量和数量的因素.
- 用混合方法方法比较居民和研究员之间的反感知.
主要方法:
- 匿名调查评估7个反构造 (例如,可信度,质量,交付) 在7点的利克特级别.
- 定量分析包括费舍尔的精确测试和多变量线性回归.
- 从半结构面试获得的定性数据使用常量比较方法进行了分析.
主要成果:
- 在7个构造中的6个构造中,研究员报告了比居民更有利的反感知 (P < .05).
- 西班牙裔种族和女性性别分别与来源可信度和建设性反的分数较低有关.
- 定性主题揭示了效率要求和礼貌文化对坦率的文化对反产生负面影响,特别是在子专业环境中.
结论:
- 与奖学金计划相比,在居住计划中反文化不那么有利.
- 提高患者护理效率的动力和重视礼貌而非直接性的文化,降低了反质量.
- 当居民与儿科子专家相比,医院医生进行培训时,这些问题更加明显.
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