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教师决策在儿童重症监护研究员的特设委托:一个国家基于案例的调查
Rachel Stork Poeppelman1, Melissa Moore-Clingenpeel1, Ashley Siems2
1Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, USA.
Teaching and learning in medicine
|November 7, 2023
概括
临床监督人员经常向儿科重症监护医学 (PCCM) 奖学员授予较低的信任级别,即使是在他们的最后一年培训. 这表明在急性护理机构的监督实践和实习生学习机会方面存在潜在问题.
科学领域:
- 医学教育 医学教育
- 儿科重症监护中心儿童重症监护中心
- 临床监督 临床监督
背景情况:
- 临床监督人员的临时委托决定会影响患者的安全和学员的发展.
- 了解急性护理中的这些决定,如儿科重症监护医学 (PCCM),由于脆弱的患者群体至关重要.
- 之前关于委托决定因素的研究并没有专门关注PCCM研究员的高风险背景.
研究的目的:
- 描述PCCM研究员的特设委托决策.
- 调查患者敏度,主管与实习生关系,同事培训水平和任务复杂性如何影响这些决策.
- 确定影响PCCM学员所需监督水平的因素.
主要方法:
- 对美国PCCM教师进行了一项调查,其中包含16个视频,其敏度,关系,训练水平和任务各不相同.
- 受访者评价了每个标签的信任水平,分为"高"或"低"信任.
- 后勤回归分析了图标特征对信任评级的影响.
主要成果:
- 敏度,关系和任务显著影响了委托级别,但没有相互作用.
- 大多数小片 (61%) 获得"低信任"评级.
- 直接监督经常被分配给,即使是最后一年的研究员 (24%的 vignettes).
结论:
- PCCM研究员经常获得低的特设委托评级,类似于其他专业的学员.
- 这可能反映了程序机会的减少,信任倾向的低,或对委托规模的多样化解释.
- 需要进一步调查,以优化PCCM学员的监督和学习.
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