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I-RANT:针对医学学生的新型,编剧,旁观者微型攻击干预工具的培训课程
Emily Grass1,2, Caroline Astemborski3,4, James M Lewis5
1Department of Emergency Medicine, Prisma Health Upstate, Greenville, SC, USA. emilyegrass@gmail.com.
BMC medical education
|December 19, 2024
概括
一项新的培训计划显著提高了医学学生识别和干预微型攻击的能力. I-RANT工具使学习者能够有效地解决这些微妙的敌意.
科学领域:
- 医学教育 医学教育
- 医疗保健专业发展
- 旁观者干预策略旁观者干预策略
背景情况:
- 微型攻击对医疗保健学习者的福祉有负面影响.
- 现有的战略缺乏经验支持和明确的干预指导.
- 开发了一种新的,脚本化的旁观者干预工具,I-RANT.
研究的目的:
- 评估培训课程对学习者微型攻击识别的影响.
- 评估学习者对干预的信心的变化.
- 测量应用I-RANT工具的能力.
主要方法:
- 一项涉及97名医学学生的试验前研究.
- 关于I-RANT工具的90分钟培训课程 (介绍,角色命名,确认目标,否定微侵略,过渡).
- 干预前后的调查 (MCQ的认可,利克尔特尺度的信心) 和教师观察的角色扮演评估.
主要成果:
- 显著改善了微型攻击的识别 (MCQ分数增加,p < .001).
- 增加了自我报告的干预信心 (p < .001).
- 97%的学生在角色扮演过程中表现出了使用I-RANT工具的能力.
结论:
- 在I-RANT培训有效授权学习者解决微型攻击.
- 在认可和信心方面观察到有统计学意义的改善.
- I-RANT工具提供了一种实际的方法,可以在患者接触期间干预微型攻击.
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