要求不同的医生:开发和评估一个欧安组织评估核心技能,以支持面临患者歧视的实习生
Christine P Beltran1, Jeffrey A Wilhite2, Cristina M Gonzalez2,3,4
1Division of General Internal Medicine and Clinical Innovation, Department of Medicine, New York University Grossman School of Medicine, New York, NY, USA. christinedale.beltran@nyulangone.org.
Journal of general internal medicine
|September 30, 2024
概括
支持面临歧视的同事对于临床医生的福祉和患者护理至关重要. 一个客观结构化临床检查 (OSCE) 案例确定了支持遭受歧视的学员的有效策略.
科学领域:
- 医学教育 医学教育
- 临床医生幸福感 临床医生幸福感
- 医疗保健 专业主义 医疗保健 专业主义
背景情况:
- 对经历歧视的同事提供低于最佳的支持会对临床医生的福祉和患者护理产生负面影响.
- 制定有效的策略来支持面临歧视的学员对于促进包容性学习环境至关重要.
研究的目的:
- 评估客观结构化临床检查 (OSCE) 案例中的居民表现和经验,重点是支持受歧视的实习生.
- 确定有效的方法来支持经历歧视的学员,以增强未来的培训和学习环境.
主要方法:
- 在模拟中心进行了欧安组织内部医学培训.
- 在2018-2022年期间,有148名第二年级居民参加了这次活动.
- 住院人员被要求在10分钟内支持一个经历患者歧视的标准化实习生 (SI),在监督,关系发展和支持领域评估绩效.
主要成果:
- 熟练的居民 (≥80%的平均得分) 总体上表现优于非熟练的居民,但有特定的例外.
- 国际情报机构确定了有效的支持策略,包括同情的陈述,说明个人反对歧视的立场,支持性的肢体语言和口头肯定.
- 居民发现与陷入困境的SI接触具有挑战性,并且提前说明了解情况被认为是需要改进的领域.
结论:
- 一个明确的歧视欧安组织案例有效地突出了成功的方法来支持患者歧视的目标个人.
- 这种教育工具可以为未来培训计划的制定提供信息,旨在改善对面临歧视的临床医生的支持.
相关概念视频
01:08Obedience
32.8K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.8K
01:27Ethical Issues
866
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
866
02:55Stereotypes, Prejudice, and Discrimination
90.1K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.1K
01:15Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
01:27Nursing Ethical Principles II
932
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
932
01:30Ethical Dilemmas II
950
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
950