"有着巨大的责任,就会带来巨大的不确定性"
Nicolas Belhomme1,2,3, Alain Lescoat4,5, Yoann Launey6
1Service de Médecine Interne et Immunologie Clinique, CHU Rennes, Université Rennes, Rennes, France. nicolas.belhomme@chu-rennes.fr.
Journal of general internal medicine
|July 31, 2024
概括
医疗人员在治疗,道德和沟通方面经历了重大不确定性. 有效的监督和明确的角色对于管理这种不确定性和促进从具有挑战性的临床经验中学习至关重要.
科学领域:
- 医学教育 医学教育
- 临床心理学 临床心理学
- 医疗保健管理的管理
背景情况:
- 医疗学员面临着固有的不确定性,影响他们的福祉和专业发展.
- 现有的框架缺乏对居民不确定性的全面了解,从其起源到他们的应对机制.
研究的目的:
- 探索医疗住院医生中临床不确定性的多方面的经验.
- 开发一个综合的居民不确定性框架,考虑到专业和培训水平的变化.
主要方法:
- 采用专题模板分析采访住院医生的定性研究.
- 使用希伦的不确定性容忍框架.
- 涉及来自五所法国医学院的不同专业和培训阶段的住院医生.
主要成果:
- 不确定性的主要来源包括治疗管理,道德困境和沟通挑战.
- 延迟对不确定性的反应成为一个主题,有助于体验式学习.
- 之前的临床经验影响了不确定性耐受性;增加的责任提高了自我效能,但也可能导致压力.
结论:
- 居民因经验有限和责任增加而面临不确定性.
- 结构化的责任和定义的角色可以提高居民对不确定性的舒适性.
- 监督和汇报对于情感支持和从不确定的情况中学习至关重要.
相关概念视频
Uncertainty: Overview
534
In analytical chemistry, we often perform repetitive measurements to detect and minimize inaccuracies caused by both determinate and indeterminate errors. Despite the cares we take, the presence of random errors means that repeated measurements almost never have exactly the same magnitude. The collective difference between these measurements - observed values - and the estimated or expected value is called uncertainty. Uncertainty is conventionally written after the estimated or expected value.
534
Uncertainty: Confidence Intervals
3.1K
The confidence interval is the range of values around the mean that contains the true mean. It is expressed as a probability percentage. The interpretation of a 95% confidence interval, for instance, is that the statistician is 95% confident that the true mean falls within the interval. The upper and lower limits of this range are known as confidence limits. The confidence limits for the true mean are estimated from the sample's mean, the standard deviation, and the statistical factor...
3.1K
The Uncertainty Principle
23.2K
Werner Heisenberg considered the limits of how accurately one can measure properties of an electron or other microscopic particles. He determined that there is a fundamental limit to how accurately one can measure both a particle’s position and its momentum simultaneously. The more accurate the measurement of the momentum of a particle is known, the less accurate the position at that time is known and vice versa. This is what is now called the Heisenberg uncertainty principle. He...
23.2K
Propagation of Uncertainty from Random Error
661
An experiment often consists of more than a single step. In this case, measurements at each step give rise to uncertainty. Because the measurements occur in successive steps, the uncertainty in one step necessarily contributes to that in the subsequent step. As we perform statistical analysis on these types of experiments, we must learn to account for the propagation of uncertainty from one step to the next. The propagation of uncertainty depends on the type of arithmetic operation performed on...
661
Uncertainty in Measurement: Accuracy and Precision
73.6K
Scientists typically make repeated measurements of a quantity to ensure the quality of their findings and to evaluate both the precision and the accuracy of their results. Measurements are said to be precise if they yield very similar results when repeated in the same manner. A measurement is considered accurate if it yields a result that is very close to the true or the accepted value. Precise values agree with each other; accurate values agree with a true value.
73.6K
Propagation of Uncertainty from Systematic Error
496
The atomic mass of an element varies due to the relative ratio of its isotopes. A sample's relative proportion of oxygen isotopes influences its average atomic mass. For instance, if we were to measure the atomic mass of oxygen from a sample, the mass would be a weighted average of the isotopic masses of oxygen in that sample. Since a single sample is not likely to perfectly reflect the true atomic mass of oxygen for all the molecules of oxygen on Earth, the mass we obtain from this...
496


