在医疗专业的实习生中感知到的呼叫器负担
Yoshiko Iwai1, Elizabeth C Ciociola1, Taylor M Carter1,2
1Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
The American surgeon
|March 23, 2024
概括
一般外科实习生经历了更高的呼叫机负担,包括更多的错误页面和睡眠障碍. 改善实习生沟通包括减少非紧急页面,并考虑他们对呼叫系统的偏好.
科学领域:
- 医疗教育 医学教育
- 医疗保健通讯 医疗保健通讯
- 进行外科手术培训.
背景情况:
- 培训人员在医疗专业中使用寻呼器的经验并未得到充分理解.
- 在不同的培训计划中,呼叫器负担和通信偏好差异很大.
研究的目的:
- 评估医疗和外科实习生的呼叫器负担和沟通偏好.
- 识别导致寻呼机负担的因素和寻呼系统所需的改进.
主要方法:
- 美国一家三级医疗中心的住户和研究员进行了在线调查.
- 收集了关于被感知到的呼叫器负担 (数量,错误,睡眠/休息时间中断) 和通信偏好的数据.
- 根据专业,使用多变量线性回归和开放编码来分析答案.
主要成果:
- 一般外科 (GS) 实习生报告了更多的错误页面,花费更长的时间重新定向它们,以及与其他专业相比更大的睡眠障碍.
- 手术培训生更喜欢物理寻呼器进行紧急通信,而非手术培训生更喜欢智能手机寻呼器.
- 最受欢迎的变化是收到更少的非紧急页面.
结论:
- 整体外科的实习生面临着不成比例的高呼叫机负担.
- 减少非紧急和错误页面可以增强学员的沟通体验.
- 医院应将呼叫系统与学员的沟通偏好保持一致.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.3K
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
915
相关概念视频
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
Methods of Documentation II: POMR
947
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
947
Barriers to Effective Communication II
3.6K
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...
3.6K
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
SBAR I: Understanding the Concept
4.5K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.5K
The Availability Heuristic
6.0K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
6.0K
