临床医生对破坏性手术内行为的反应:从一项跨国调查中发现的模式和规范
Alexander Villafranca1, Ian Fast2, Michelle Turick3
1School of Health, Northwestern Polytechnic, K220, 10726 106 Ave., Grande Prairie, AB, T8V 4C4, Canada. avillafranca@nwpolytech.ca.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|December 21, 2023
概括
临床医生对破坏性行为的反应各不相同,许多人改变了护理或避免了沟通. 本研究引入了一个分类系统,以帮助组织支持受影响的员工.
科学领域:
- 医疗保健管理的管理
- 医学心理学 医学心理学
- 外科手术的安全性
背景情况:
- 在手术室中的破坏性行为会对临床医生,机构和患者产生负面影响.
- 临床医生对破坏性行为的反应可以使结果变得更糟或更好.
- 缺乏关于跨国临床医生的反应和评估工具的研究.
研究的目的:
- 描述一个跨国临床医生样本对破坏性行为的反应.
- 开发用于识别和评估临床医生对破坏性行为的反应的工具.
主要方法:
- 调查由23个外科组织分发给4789名临床医生.
- 响应被分为被动,断言,操纵和恶意策略.
- 隐形形状分析确定了临床医生响应模式组;奇方位测试检查了人口统计学关联.
主要成果:
- 33.7%的临床医生改变了未经指示的医疗护理,54.6%避免了沟通,12.1%误导了犯罪者.
- 确定了五个响应模式组:极度被动 (30.5%),极度自信 (20.5%),中度被动 (18.9%),中度自信 (26.5%),和差异 (3,5%).
- 职业,性别,管理职责和性取向预测了反应模式 (P < 0.001).
结论:
- 临床医生对破坏性行为的反应经常涉及被动性,操纵性或恶意.
- 提出了标准和分类系统,以帮助组织评估和支持.
- 这些发现可以为破坏性行为的受害者和目击者提供量身定制的支持.
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