在制定学生解决方案以减少报告不专业行为的障碍后,机构的影响
Prateek Bhattacharya1, Jaden Kohn1, George Polson1
1Baylor College of Medicine.
MedEdPublish (2016)
|December 13, 2023
概括
实施机构变革,包括简化匿名报告系统和加强专业化课程,大大提高了医学学生对识别和报告不当行为的信心. 这促进了机构内部更强大的专业文化.
科学领域:
- 医学教育 医学教育
- 专业主义 研究 研究 专业主义
- 医疗保健道德 医疗保健道德
背景情况:
- 医学学生的专业精神对于患者护理和机构声誉至关重要.
- 报告不当行为的障碍可能会破坏道德标准和学习环境.
- 以前报告和解决不专业行为的方法是不够的.
研究的目的:
- 评估机构变革对医学学生对专业性的看法的影响.
- 评估报告不当行为的变化和对保护措施的信任.
- 确定有效的策略,以提高医疗教育中的专业文化.
主要方法:
- 一项为期两年的研究,涉及医学学生.
- 引入了一个精简的匿名报告系统 (EthicsPoint®).
- 更新的课程与专业主义教学和明确的行为期望.
- 半年保证保密性和保护对举报不当行为的报复.
主要成果:
- 学生在识别非专业行为的信心增加 (p<0.01).
- 对保护免受报复的信任增加 (p<0.01).
- 关于患者言论和知情同意的不当行为报告增加 (p<0.01).
结论:
- 明确的期望,透明的报告和保护免受报复是提高机构专业性的关键.
- 实施的变化对学生的感知和报告行为产生了积极的影响.
- 通过有针对性的机构干预,可以培养强大的专业文化.
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