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外科医生和外科实习生在患者不良事件后的经历
Sara P Ginzberg1,2,3, Julia A Gasior4, Jesse E Passman1,3
1Department of Surgery, University of Pennsylvania Health System, Philadelphia.
JAMA network open
|June 3, 2024
概括
手术中的不良事件对外科医生和实习生产生重大影响,造成痛苦和恐惧. 正式的支持系统对于减轻负面影响和恢复信任至关重要,特别是对于代表性不足的群体.
科学领域:
- 医学教育 医学教育
- 在外科手术实践中.
- 患者安全 患者安全
背景情况:
- 在外科实践中,患者的不良事件是不可避免的.
- 这些事件会深刻影响外科医生和实习生的心理和情感福祉.
- 了解这些影响对于开发有效的支持系统至关重要.
研究的目的:
- 描述患者不良事件对外科医生和实习生的影响.
- 确定外科专业人员使用的应对机制.
- 评估当前支持结构的充分性,并探索所需的援助形式.
主要方法:
- 采用混合方法方法,将手术学员的调查数据与外科教师的定性访谈相结合.
- 经过验证的调查工具被调整并分发给七个方案的实习生.
- 教师采访是在一个城市学术卫生系统的四个外科部门进行的.
主要成果:
- 很高比例的受训者 (82.8%) 报告说,他们参与了最近的不良事件,经历了尬,反省和对未来手术的恐惧.
- 女性实习生和非白人种族背景的人报告了更严重的负面后果.
- 实习生和教师都经历了严重的痛苦,包括内,羞耻和失去信心,实习生希望与主治医生进行讨论以获得支持.
结论:
- 患者的不良事件几乎是外科专业人员普遍经历的,并造成严重的痛苦.
- 需要正式的支持机制来解决这些事件的心理影响.
- 这种支持可以帮助减少耻辱感,恢复信心,并特别有利于在手术中代表性不足的群体.
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