在紧急医疗住院中,心理安全和感知到的组织支持
Margaret Goodrich1, Kerry McCabe2,3, Jesse Basford4
1Department of Emergency Medicine University of Missouri School of Medicine Columbia Missouri USA.
AEM education and training
|April 15, 2024
概括
紧急医疗人员认为他们的临床学习环境在心理上是安全和支持的. 关键因素包括教学,校友关系和领导力支持,而跨学科的沟通和被低的感觉带来了挑战.
科学领域:
- 医学教育 医学教育
- 研究生医学教育研究生医学教育
- 紧急医疗培训培训 紧急医疗培训
背景情况:
- 临床学习环境 (CLE) 显著影响居民的知识和专业成长.
- 之前的单一中心研究评估了CLE中的心理安全和组织支持.
- 这项研究扩展了之前的工作,通过在多个急诊医疗住院评估这些因素.
研究的目的:
- 探索和评估心理安全和在异质的紧急医疗 (EM) 住院内感知到的组织支持.
- 确定影响居民对CLE看法的趋势和具体因素.
- 在多机构的背景下,利用先前的单一中心发现.
主要方法:
- 向EM居民进行心理安全量表 (PSS) 和感知组织支持 (SPOS) 调查.
- 从2021年9月到11月使用REDCap软件进行数据收集.
- 包括开放式问题,以收集有关学习环境特征的定性见解.
主要成果:
- 在七个美国EM住院中实现了45.7%的响应率 (137/300居民).
- 对CLE的总体积极看法是显而易见的,平均得分为4.2/5的"我的部门成员能够提出问题和棘手的问题".
- 确定了教学,校友关系和领导力支持作为积极的CLE特征;对抗性沟通和被低的感觉作为需要改进的领域.
结论:
- 心理安全和组织支持得分在多个机构中总体上是积极的,与之前的研究保持一致.
- 紧急医疗培训计划可以利用PSS和SPOS进行自我评估和程序增强.
- 培养支持因素和解决已识别的威胁可以优化EM临床学习环境.
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