在危急情况下,医院前团队合作的性别敏感考虑
Matthias Zimmer1, Daria Magdalena Czarniecki2, Stephan Sahm3,2
1Department of Internal Medicine I, Ketteler Hospital, Hesse, Germany. zimmer.m@ketteler-krankenhaus.de.
Philosophy, ethics, and humanities in medicine : PEHM
|March 20, 2024
概括
性别不会影响紧急医疗服务中的团队合作. 然而,女性报告说,由于更高的期望,她们对错误的羞耻程度更高,对错误的公开沟通程度更低,因此需要对错误管理和患者安全进行更好的组织调整.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健团队合作 医疗保健团队合作
- 患者安全 患者安全
背景情况:
- 团队合作对于紧急医疗服务 (EMS) 中的患者安全至关重要.
- 之前的研究忽视了在EMS内部的沟通,患者安全和团队合作方面的潜在性别差异.
- 这项研究旨在调查这些未被充分研究的与性别有关的方面.
研究的目的:
- 评估性别对沟通,患者安全和紧急医疗服务中的团队合作的影响.
- 确定不同性别在错误报告和沟通方面面临的具体挑战.
- 为改善EMS中的团队合作和错误管理提供建议.
主要方法:
- 一个描述性的,匿名的在线调查问卷研究.
- 针对德国各地的急诊医生和护理人员.
- 评估了对团队合作,沟通,患者安全和错误处理的看法.
主要成果:
- 虽然整体团队合作和沟通问题并不取决于性别,但女性在错误后报告了更高的耻辱率 (52.6%对31.7%),并认为沟通技巧较差 (19.0%对81.0%).
- 女性更有可能避免公开沟通错误,因为害怕出现无能 (28.4%对15.5%).
- 两种性别都认为同事的性格是导致团队沟通不良的一个原因,在压力下,沟通减少并变得不准确.
结论:
- 在EMS中,团队沟通和团队工作本身并不取决于性别.
- 女性可能面临更大的障碍,对错误的公开沟通,可能是由于社会期望.
- 调整工作组织以满足妇女的需求,培养积极的错误和沟通文化对于提高患者安全至关重要.
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