复杂性和跨覆盖护理在研究生医学教育的挑战:一个定性研究
Academic medicine : journal of the Association of American Medical Colleges
|September 16, 2024
概括
提供交叉覆盖护理的居民面临着重大挑战,包括信息传输不良和疲劳,影响患者的安全和福祉. 解决这些问题需要教育和结构性干预,以改善研究生医学教育.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 质量健康研究 质量健康研究
背景情况:
- 交叉覆盖护理是普通的研究生医学教育责任.
- 它与可预防的不良事件增加有关.
- 在交叉覆盖期间,教育工作者缺乏对居民挑战的全面知识.
研究的目的:
- 探索居民在提供跨套护理时所面临的具体挑战.
- 了解居民如何应对这些挑战.
- 为研究生医学教育的质量改进工作提供信息.
主要方法:
- 对20名内科医生和外科医生进行了60次半结构化的定性访谈.
- 使用的解释性描述,医疗保健研究的定性方法.
- 开发了一个流程地图,以说明交叉覆盖期间的居民工作流.
主要成果:
- 确定了17个跨层面的挑战,分为7个主题:缺乏知识,信息传输不佳,患者不熟悉,任务量大,角色不清楚,资源获取问题和疲劳.
- 过程地图详细介绍了4个工作流组件:信息传输,任务处理,向主要团队返回通信以及一夜间的责任.
- 挑战显著影响居民的工作流程和患者护理.
结论:
- 居民在交叉覆盖护理期间遇到重大挑战,影响患者安全和居民福祉.
- 需要进行教育和结构性干预,以改善交叉覆盖过程.
- 这些发现可以指导开发针对居民的有针对性的支持,并提高患者护理质量.
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