有声音:居民对监督,决策和患者护理所有权的看法
Margaret A Robinson1, Judith L Bowen2, Megan Aylor3
1Division of Pediatric Critical Care Medicine (MA Robinson and S van Schaik), Department of Pediatrics, University of California, San Francisco, Calif.
Academic pediatrics
|November 11, 2023
概括
儿科住院医生获得所有权和参与的感觉,当主管培养他们的参与患者护理决策. 这种方法支持学习和发展,即使增加了监督.
科学领域:
- 医学教育 医学教育
- 儿科住院培训培训 儿科住院培训
- 患者安全 患者安全
背景情况:
- 增加儿科监督对住户的自主性和参与度产生影响.
- 这可能会阻碍有能力的临床医生的发展.
- 了解居民对监督的经验对于他们过渡到实践至关重要.
研究的目的:
- 调查儿科住院医生如何在监督下进行临床决策.
- 检查决策机会对居民参与和学习的影响.
主要方法:
- 与38名儿科住院医生 (2019-2020) 进行的基于面试的定性研究.
- 建设主义的方法探索临床决策经验.
- 代和归纳的主题分析.
主要成果:
- 当居民拥有独立决策的空间时,无论监督员是否在场,都会感受到自主权.
- 患者护理所有权是通过对护理的多样性贡献而发展的.
- 监督员的行为影响了患者护理的所有权,影响了居民被听取,参与和学习的感觉.
结论:
- 在当前的儿科学习环境中,患者护理所有权是一个比独立/自主更合适的目标.
- 监管人员可以通过促进患者护理所有权和确保居民投入来加强居民参与.
- 这支持居民在增强监督模型中的学习和发展.
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