揭露医疗保健学生作为第二受害者隐藏的斗争,通过系统审查
José Joaquín Mira1,2, Valerie Matarredona3, Susanna Tella4
1Atenea Research. FISABIO, Alicante, Spain. jose.mira@umh.es.
BMC medical education
|April 8, 2024
概括
作为第二个受害者经历不良事件的医疗保健学生需要更好的培训. 目前的干预措施有限,缺乏明确的有效性,突出了在临床培训期间支持学生性方面的差距.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 心理学 心理学 心理学
背景情况:
- 参与不良事件的医疗保健学生经历了严重的情绪痛苦,被称为"第二受害者现象".
- 这种经历可能会对学生的福祉和未来的专业实践产生负面影响.
- 需要了解干预措施,支持学生通过这些具有挑战性的情况.
研究的目的:
- 系统地审查旨在帮助医疗保健学生应对成为第二个受害者的干预措施.
- 在临床实习和培训期间描述这些支持策略的方法和结果.
主要方法:
- 按照PRISMA指南进行系统审查,综合了18项研究 (2011-2023年).
- 在MEDLINE,EMBASE,SCOPUS和APS PsycInfo数据库中进行的搜索.
- 研究问题和资格的PICO方法;选择的Rayyan;偏见评估的Joanna Briggs研究所工具.
主要成果:
- 在1354项检索中,有18项研究符合纳入标准;大多数来自美国.
- 干预措施包括教育策略,错误预防培训和弹性建设.
- 心理支持不一致提供,尽管一些学生报告个人成长从经验.
结论:
- 弹性培训对于医疗保健学生的专业发展至关重要.
- 目前针对学生的第二受害者现象的干预措施不足,缺乏有效性的确证据.
- 需要更多的研究来确定最佳策略,以支持学生在不良事件后.
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