改变规范是一项挑战:探索如何在临床学习环境中预测和处理微攻击
Javeed Sukhera1, Tess M Atkinson2, Justin L Bullock3,4
1Hartford Hospital and the Institute of Living, Hartford, Connecticut, USA.
Perspectives on medical education
|December 25, 2023
概括
在医疗保健环境中关于微型攻击的预测性对话可以建立信任,但由于组织规范而面临挑战. 领导者模拟脆弱性并提供支持可以促进这些关键的讨论.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 组织心理学 组织心理学
背景情况:
- 在临床环境中解决微型攻击对于培养归属文化至关重要.
- 目前的战略往往侧重于反应性措施,而不是主动建立信任.
- 关于微型攻击的预测性对话可能会增强信任和心理安全.
研究的目的:
- 探索不同参与者对潜在微型攻击的预测性对话的看法.
- 了解预防性讨论如何影响临床学习环境中对微攻击的组织方法.
主要方法:
- 构造主义基于理论的方法论.
- 与21名参与者进行了定性个人访谈.
- 在美国卫生科学中心的学术部门进行的研究.
主要成果:
- 关于微型攻击的预测性对话是具有挑战性的,因为在动态的临床环境中存在既定的规范.
- 参与者在考虑预期微型攻击时经历了不和.
- 便利化需要领导者模拟脆弱性,组织支持和个性化的方法.
结论:
- 积极处理微型攻击具有潜力,但由于文化规范和层次结构,在医疗保健中仍然具有挑战性.
- 组织文化和层次结构可以影响个人处理微型攻击的行为.
- 未来的战略必须考虑文化规范和组织约束,以有效应对微型攻击.
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