儿科医生如何在临床决策中管理不确定性的舒适性?
Colin J McMahon1,2,3, Muirne Spooner4, Matthew Sibbald5
1Department of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Perspectives on medical education
|October 28, 2024
概括
儿科医生 儿科医生
科学领域:
- 医学教育 医学教育
- 儿科 儿科 儿科
- 医疗保健管理的管理
背景情况:
- 医疗保健实践涉及固有的不确定性,但研究生培训缺乏对不确定性的舒适性 (CWU) 的正式支持.
- 医学培训教学可能与CWU相冲突,因为它强调解决问题.
- 管理不确定性影响患者转诊率和医疗保健资源利用率.
研究的目的:
- 探索儿科医生在临床实践中管理不确定性的经验和策略.
- 了解影响临床医生的不确定性舒适度 (CWU) 的因素.
- 调查临床医生CWU和护理人员舒适与医生放心 (CDR) 之间的联系.
主要方法:
- 这是一项涉及34名爱尔兰儿科医生的定性研究.
- 面对面的采访是在参与者观看临床医生与患者互动的视频后进行的.
- 面试数据的专题分析,三角测量和成员验证有效性.
主要成果:
- 五个主要主题出现了:信息质量,临床评估信心,管理焦虑,应对不确定性的策略和父母的期望.
- 临床医生CWU显著受到护理人员CDR的调节.
- 临床管理可能会偏离计划,如果护理人员的CDR没有得到充分解决.
结论:
- 儿科的临床CWU与护理人员CDR密切相关.
- 社会背景,包括护理人员的期望,对于理解和支持临床医生CWU至关重要.
- 教育干预措施应针对临床医生CWU和护理人员CDR,以优化患者护理和资源使用.
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