玩决定团队合作:一个讨论游戏,为初级医生探索工作场所欺凌和骚扰
Elaine Burke1,2, Declan Byrne3, Mark Donegan3
1Discipline of Medical Education, School of Medicine, Trinity College Dublin, Dublin, Ireland. burkee11@tcd.ie.
BMC medical education
|December 19, 2024
概括
本研究介绍了PlayDecide:团队合作,这是一款新的游戏,旨在帮助初级医生识别工作场所欺凌和骚扰 (WBH). 该游戏被认为是可以接受的,并且有效地创造了一个安全的空间来讨论这些关键的医疗保健问题.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 职业健康 职业健康 职业健康
背景情况:
- 职场欺凌和骚扰 (WBH) 在医疗保健中很普遍,但定义缺乏共识,阻碍了研究结果的解释.
- 严重的WBH后果包括倦怠,压力和自杀念头,由于缺乏理解和支持意识,正式报告率较低.
- 存在着WBH的循环,受害者可能会延续这种行为,突出了教育干预的必要性.
研究的目的:
- 开发和评估一个教育工具,PlayDecide:团队合作,用于在实习生中识别工作场所欺凌和骚扰 (WBH).
- 评估PlayDecide的可接受性和教育价值:在急性医院环境中的团队合作游戏.
主要方法:
- 一个基于卡片的讨论游戏,PlayDecide:团队合作,是由一个多学科团队开发的,并与四个爱尔兰急性医院的实习生一起实施.
- 通过匿名在线调查收集了关于游戏可接受性和教育价值的反.
- 使用TIDieR框架描述了干预,并使用描述性统计数据分析了数据.
主要成果:
- 实习教练和辅导员对PlayDecide:团队合作游戏表示满意.
- 实习生出席率为63.64% (n=70),调查响应率为57.14% (n=40).
- 大多数实习生认为游戏是可以接受的,卡片是相关的,环境是安全的,可以讨论工作场所的问题,同意学习目标得到了实现,尽管对支持服务的认识的影响较小.
结论:
- 玩决策:团队合作是首个针对实习生的WBH此类干预措施,在急性医院环境中证明了有效性和可接受性.
- 游戏很可能通过强烈的群体识别和通过现实的场景进行认知距离来促进讨论.
- 建议在行为和组织层面进行进一步的评估,以充分评估本WBH教育工具的影响.
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