实习生-监督员合作,进度可视化和辅导:关于评估ICU实习生的挑战的调查
Johannes B J Scholte1,2, Johannes C Strehler3, Tatjana Dill4,5,6
1Department of Intensive Care Medicine, Cantonal Hospital Lucerne, Lucerne, Switzerland. janscholte@hotmail.com.
BMC medical education
|February 6, 2024
概括
改善重症监护室 (ICU) 实习生评估需要解决合作中断,进度可视化和指导. 拟议的ICU-STAR框架通过结构化沟通和反来加强实习生-监督员的合作和评估.
科学领域:
- 医学教育 医学教育
- 密集护理医学 密集护理医学
- 专业发展专业发展
背景情况:
- 培训人员评估对于能力发展至关重要,但也带来了重大挑战.
- 识别影响学员评估的因素对于改进过程至关重要.
研究的目的:
- 调查在重症监护室 (ICU) 环境中评估实习生的挑战.
- 确定阻碍实习生有效评估的因素,并提出解决方案.
主要方法:
- 在瑞士一家重症监护室的住院医生,研究员和重症监护医生中进行了调查.
- 专题分析用于分析调查答复,揭示关键挑战和建议解决方案.
主要成果:
- 出现了三个主要主题:实习生与实习生密集合作的不连续性,缺乏实习生进度可视化,以及教练/反不足.
- 障碍包括短轮换,大团队和轮班系统;解决方案涉及数字工具和能力委员会.
- 有效的教练需要解决个性,层次和竞争利益,熟练的教练优化评估.
结论:
- 实习生评估受到协作不连续性,进展可视化不良以及监督指导不足的阻碍.
- 拟议的ICU-STAR框架,包括简报,共享护理和汇报,旨在加强合作和评估.
- 通过收集更多的数据点和充当教练,参加密集治疗可以改善进度可视化.
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