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预期或避免:内科住院医生经历执行侵袭性床边手术
Alyssa S Louis1, Christie Lee1, Andrea V Page2,3
1Department of Medicine, Sinai Health, University of Toronto, Ontario, Canada; Division of Infectious Diseases.
内科医生由于患者,系统,教师和住院因素而面临着床边手术的多样化经验. 解决这些障碍是提高程序能力和信心的关键.
科学领域:
- 医学教育 医学教育
- 内部医学 内部医学
- 临床技能培训 临床技能培训
背景情况:
- 内部医学 (IM) 住院人员需要熟练掌握患者护理的床边程序.
- 居民的程序经验存在显著的变化,有不清楚的贡献因素.
研究的目的:
- 调查IM住院人员在床边手术中的经验.
- 确定影响居民获取程序经验的障碍和促进者.
主要方法:
- 使用半结构面试和焦点小组对12名IM居民进行定性研究.
- 使用Braun和Clarke的方法进行主题分析,以确定关键主题.
主要成果:
- 四个主要主题出现了:患者特异性因素 (例如,身体习惯),系统因素 (例如,时间限制),教师因素 (例如,监督可用性) 和居民特异性因素 (例如,信心).
- 一些居民报告了与程序相关的焦虑和回避行为.
结论:
- 教育干预应侧重于提高程序效率和监督人员的可用性.
- 需要进一步的研究来解决与程序相关的焦虑,并建立对犹不决的居民的信心.
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