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评估应对手术内错误的停止框架:有效性的证据,傲慢的暗示,以及缩短倦怠的桥梁
Jonathan D D'Angelo1, Mariela Rivera2, Todd E Rasmussen3
1Mayo Clinic, Department of Surgery, Rochester, MN.
Surgery
|May 19, 2024
概括
STOPS框架改善了女性外科住院医生的应对自我效能,减少了倦怠. 应对能力的增长降低了所有居民的倦怠,突出了该工具的有效性.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 心理干预 心理干预
背景情况:
- 外科医生面临手术室的错误,需要有效的应对策略.
- STOPS (停止,与团队交谈,获得帮助,计划,成功) 框架是作为一个基于证据的工具而开发的.
- 研究旨在评估STOPS框架对居民应对和倦怠的影响,同时考虑性别差异.
研究的目的:
- 评估STOPS框架对外科住院医生的应对机制的心理影响.
- 确定STOPS框架对居民燃烧的影响.
- 在框架的有效性中调查潜在的性别差异.
主要方法:
- 一个自然实验设计被用于一般外科住院医生.
- 关于应对错误的教育会议进行.
- 调查评估了应对,倦怠和人口统计3个月干预后,比较与会者与非与会者.
主要成果:
- 参加STOPS会议的女性居民报告了更高的应对自我效能;男性没有显示出明显的差异.
- 应对自我有效性与倦怠程度相反相关.
- STOPS框架证明了它的有效性,特别是在女性住院居民的应对方面.
结论:
- STOPS框架在改善外科住院医生的应对技能的有效性方面有证据.
- 女性居民报告说,干预后应对自我效能得到了增强.
- 越来越多的应对能力与性别之间的燃烧减少相关.
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