怀疑的文化:医学学生真的会在应有的情况下经历临床的不确定性吗?
N Belhomme1,2,3, A Lescoat1,2, L Dion4,5
1Service de Médecine Interne et Immunologie Clinique, CHU Rennes, Rennes, France.
Medical teacher
|March 9, 2024
概括
医学学生需要在管理不确定性方面接受培训. 在学术文化中培养怀疑和多样化的观点可以改善学生的学习.
科学领域:
- 医学教育 医学教育
- 认知心理学 认知心理学
- 临床实践 临床实践
背景情况:
- 不确定性是医疗实践的组成部分,需要纳入本科培训.
- 不确定性容忍 (UT) 的综合模型为研究临床不确定性提供了一个框架.
- 虽然研究了UT维度,但影响不确定性刺激感知的因素未得到充分研究.
研究的目的:
- 探索影响医学学生对临床不确定性的感知因素.
- 调查学生是否在适当的时候感知不确定性刺激.
- 提出解决医学教育中不确定性感知的假设.
主要方法:
- 基于现有文学关于不确定性容忍和感知的假设生成.
- 借鉴不确定性的元认知理论.
- 引用杜威的情境理论,并倡导民族学研究.
主要成果:
- 学生对不确定性的感知受到他们与知识及其局限性的关系的影响.
- 个人和背景因素对不确定性的感知和应对方式产生重大影响.
- 鼓励怀疑和接触不同观点的学术文化可能会增强不确定性识别.
结论:
- 学生感知和应对不确定性的能力对于发展适应性临床技能至关重要.
- 培养一个怀疑的学术环境可以改善临床不确定性的早期识别.
- 需要进一步的研究,包括民族学研究,以了解学生,环境和不确定性感知之间的相互作用.
更多相关视频
相关概念视频
Ethical Dilemmas I
901
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
901
Ethical Issues
953
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
953
Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K


