医学学生的发言障碍:一个随机对照试验,使用书面标签
Jesper Dybdal Kayser1, Annette Kjær Ersbøll2, Michaela Kolbe
1From the Copenhagen Academy for Medical Education and Simulation (CAMES), Capital Region of Denmark.
Journal of patient safety
|March 20, 2024
概括
医学学生认为,当情况困难时,谈论患者安全问题的障碍越来越多. 了解这些障碍对于准备未来的医疗保健专业人员至关重要.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 医学学生识别和处理风险行为的能力对于患者安全至关重要.
- 医学学生的发言障碍并未得到充分理解.
- 了解这些障碍有助于为学生准备现实世界的医疗保健环境.
研究的目的:
- 调查医学学生在遇到危险行为时保持沉默的感知原因.
- 确定情况的困难是否影响学生识别的障碍.
主要方法:
- 一个随机的,单盲试验,使用基于文本的图片,描绘各种发言情景.
- 标签在内容 (环境规范,不确定性,等级) 和难度 (容易,困难) 上有系统的变化.
- 参与者表示感知到的发言障碍;后勤回归分析了障碍,图片内容和难度之间的关联.
主要成果:
- 265名学生参加了100%的响应率.
- 感知到的障碍取决于上下文,并与图片主题保持一致.
- 困难的细节 (环境规范,层次结构) 导致明显更多的发言障碍 (OR=1.52,OR=1.25).
结论:
- 发言的感知障碍始终受到局势特征的影响.
- 更多的障碍与呈现的场景更困难的版本有关.
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