思想的改变:错误的动机是由不同的学习环境中的错误感知所塑造的
Liv Dyre Rasmussen1, Lawrence Grierson2, Anne Mette Morcke3
1Copenhagen Academy for Medical Education and Simulation (CAMES), Capital Region of Denmark, Copenhagen, Denmark.
Medical teacher
|October 15, 2024
概括
医学实习生将错误视为学习机会,尤其是在心理安全的环境中. 支持的氛围减少了责怪文化,增强了技能发展的动机和冒险.
科学领域:
- 医学教育 医学教育
- 医疗保健专业发展
- 患者安全 患者安全
背景情况:
- 传统的医学教育文化往往涉及到传统的医学教育文化.
- 羞耻和责备,这是一个错误.
- 关于错误,阻碍学习和技能改进.
研究的目的:
- 探索医学学生和新毕业的医生对错误的看法.
- 研究错误感知如何影响学习的动机和参与度.
- 评估学习环境和专业知识水平对错误感知的影响.
主要方法:
- 半结构面试和专题分析以确定关键主题.
- 根据确定的主题,开发一个27个问题调查.
- 调查分发给丹麦的医学学生 (1年,4年,6年) 和新毕业的医生.
主要成果:
- 大多数541名受访者预计会犯错误,并认为这些错误会激励他们.
- 心理安全的环境增强了对错误的认知,将错误视为学习机会,增加了冒险的意愿.
- 受访者专注于特定的错误,而监督者专注于错误处理;在安全的临床环境中,风险的意愿从6年增加到PGY-1.
结论:
- 在心理上安全的学习环境对于减轻心理障碍至关重要.
- 羞耻和责备,这是一个错误.
- 围绕医疗错误的文化.
- 实习生通常将错误视为学习经验,但通常缺乏具体的反.
- 结果突出了错误,学习活动和医疗教育中的监督支持之间的相互作用.
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