研究破坏性临床医生行为问题的问题和观点
1Institute for Teaching and Learning, Ritsumeikan University, Kyoto, JPN.
Cureus
|June 28, 2024
概括
干扰性临床医生行为 (DCB) 由于各种定义导致混乱. 这项研究提出了一个层次模型和政策的转变,从"零容忍"到"犯错是人类的",以改善患者的安全和工作环境.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 组织心理学 组织心理学
背景情况:
- 干扰性临床医生行为 (DCB) 对患者安全和医疗保健专业人员的工作环境构成挑战.
- 概念混源于DCB研究中的多种术语和模两可的定义.
- 主观分类导致DCB的重叠和波动属性.
研究的目的:
- 澄清破坏性临床医生行为 (DCB) 的定义和结构.
- 为了解DCB触发因素,贡献因素和影响提出一个框架.
- 推用于DCB预防和缓解的策略.
主要方法:
- 采用罗森伯格对DCB的定义:"任何不适当的行为,对抗或冲突,从口头虐待到身体和性骚扰.
- 对实地调查数据的统计分析,以建立DCB的层次结构.
- 从现有研究中的重复项目组织成基于相互关系的单独路径模型.
主要成果:
- 一个建议的层次结构,以了解DCB.
- 确定了与DCB触发器和促成因素相关的反复出现的项目.
- 开发路径模型以阐明DCB机制和影响.
结论:
- 对DCB的进一步研究应该集中在阐明发生和影响机制上.
- 建议将政策从"零容忍"转变为"犯错是人类的",以防止DCB.
- 改善医疗保健专业人员的心理和社会状态是解决DCB的优先事项.
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