你为什么没有打电话给我? 年轻学习者在决定是否打电话给他们的监督者时要考虑的因素
Kameela Miriam Alibhai1, Taryn Raelene Zabolotniuk2, Isabelle Raîche1
1Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Journal of surgical education
|September 15, 2024
概括
初级学习者 (JL) 在决定与高级居民 (SR) 联系时考虑患者和个人因素,以解决非紧急的临床问题. 了解这些因素,包括社会动态,对于改善患者安全和指导JL至关重要.
科学领域:
- 医学教育 医学教育
- 临床决策 - 临床决策
- 患者安全 患者安全
背景情况:
- 初级学习者 (JL) 经常感到有压力独立工作,导致与老年居民 (SR) 的交流不频繁.
- 在非紧急情况下,JL与SR联系的决策过程尚不清楚.
研究的目的:
- 为了确定JL在决定页面SR时考虑的因素.
- 为了将这些因素与SR所识别的因素进行比较.
主要方法:
- 进行了15次认知访谈,其中5人是普通手术SR,10人是JL (5名高级医学学生,5名初级住院生).
- 参与者审查了样本临床场景,并讨论了决策因素.
- 使用解释性现象学分析 (IPA) 的诱导编码应用于采访成绩单.
主要成果:
- JL和SR都同意需要与SR联系,以获得高敏度的页面 (例如,血液动力学不稳定性,代码).
- 对于非高急性页面,JL考虑了10个与患者相关的和与学习者相关的因素,包括患者的外观,干预的需要,护士的关注以及一天中的时间.
- SR确定了与患者相关的和临床学习者因素,但不是JL.L.引用的社会学习者因素 (白天的时间,人际动态).
结论:
- 在决定为非紧急事项拨打SR时,JL利用了一系列患者和学习者特定的因素.
- 明确讨论这些因素可以指导JL的决策.
- 解决社会因素对于培养支持性环境和提高患者安全至关重要.
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