在住院临床学习环境中的学员自主性和监督.
Stephanie M Conner1, Nancy Choi2, Jessica Fuller3
1Department of Medicine, Division of General Medicine, Columbia University Irving Medical Center, New York, New York, USA.
The clinical teacher
|December 22, 2024
概括
医疗住院人员和主治医生希望增加住院人员的自主权,这对于培训和患者安全至关重要. 与会者,实习生,患者,人际关系和机构动态等因素影响了这种平衡.
科学领域:
- 医学教育 医学教育
- 临床监督 临床监督
- 患者安全 患者安全
背景情况:
- 在复杂的住院环境中,平衡住户自主权和监督对培训人员的发展和患者安全至关重要.
- 这种动态的不平衡会在临床学习环境中造成紧张.
研究的目的:
- 了解当前和理想状态的自治和监督在医疗住院.
- 从实习生和参加者的角度来看,确定导致自主性监督失衡的因素.
主要方法:
- 顺序混合方法设计,利用调查和聚焦小组与居民和护理人员.
- 数据是从2019年5月到2020年6月在三个医院收集的.
- 调查答案的统计比较和定性数据的专题分析.
主要成果:
- 实习生感觉到当前的自主性比参加者更高;这两组都希望拥有更大的自主性.
- 确定了5个对自主性和监督平衡的核心贡献者:主持人,实习生,患者,人际关系和机构因素.
- 这些因素是复杂的,互动的,需要不断调整.
结论:
- 人们一致认为,居民自治应该得到更多的优先考虑.
- 个人,人际和机构因素的复杂相互作用影响了自主监督动态.
- 了解这些相互作用对于优化住院临床学习环境至关重要.
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