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改变医学学生的说话行为成为医疗错误:模拟和个性化报告的影响
Hung-Wei Tsai1, S Barry Issenberg2, Yi-Chun Chen1,3
1Department of Emergency Medicine, Taipei Medical University Hospital, Taipei, R.O.C.
Medical teacher
|August 16, 2024
概括
医学学生在模拟培训和汇报后,提高了他们谈论医疗错误的表达能力. 他们使用了更直接的语言,并且更自信地表达了他们的担忧,这有利于患者的安全.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 有效的沟通,特别是公开谈论医疗错误,对于高绩效的医疗保健团队至关重要.
- 了解医学学生如何表达他们的担忧对于提高患者安全和团队表现至关重要.
研究的目的:
- 调查医学学生在遇到医疗错误时如何发声.
- 评估基于模拟的学习和由教师领导的汇报对学生的发言模式和信心的影响.
主要方法:
- 一项涉及146名北台湾医学学生的准实验性研究.
- 学生被分为两组,在遇到模拟的医疗场景之前或之后经历干预 (汇报).
- 在干预前和后评估了发言模式 (表达风格,形式,态度) 和自信.
主要成果:
- 干预后,学生在发言风格,形式和态度上表现出显著的变化 (p < 0.001).
- 学生越来越多地使用直接表达和肯定句子来表达对医疗错误的担忧.
- 在干预后,发言的信心显著增加.
结论:
- 模拟培训和个性化报告会提高医学学生的信心和有效性,在谈论医疗错误.
- 医疗保健教育工作者应指导学生使用各种说话策略,以促进临床环境中的强有力的沟通.
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