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调查工作场所支持和心理安全在整体外科住院培训中的重要性
Feyisayo Ojute1, Paul Adam Gonzales1, Michael Berler1
1UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California.
Journal of surgical education
|February 22, 2024
概括
在整体外科住院计划中提高心理安全 (PS) 可以改善住院人员的幸福感并减少倦怠. 关键策略包括指导,倡导,肯定和消除寻求帮助行为的耻辱化行为.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 工作场所的幸福 工作场所的幸福
背景情况:
- 在外科住院中,倦怠和低幸福感很普遍.
- 工作场所的支持对于减轻倦怠和提高居民满意度至关重要.
- 实施有效的支持需要基于证据的目标.
研究的目的:
- 确定以证据为基础的目标,以便在通用外科住院提供工作场所支持.
- 评估感知心理安全 (PS) 与居民勃发展和衰退之间的关联.
主要方法:
- 进行了一项两部分混合方法的横截面研究.
- 第1部分涉及定性焦点小组与整体外科住院医生.
- 第二部分使用了在线调查来评估PS,繁荣和衰退.
主要成果:
- 焦点小组确定了支持的增强因素 (例如,指导,非惩罚性错误分析) 和抑制因素 (例如,健康倡议作为"护带",唯心主义).
- 更高的感知PS与计划和部门领导层的勃发展相关.
- 较低的感知PS与计划领导层的疲软相关.
结论:
- 通过扩大指导 (倡导,肯定) 促进PS是关键.
- 培养一种接受寻求帮助并提供正式支持导航的文化至关重要.
- 领导力建模可以消除寻求帮助的耻辱感,从而增加繁荣,减少乏.
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