在职务中诊断冲突:医学学生经验的见解
Erin S Barry1,2, Joseph C L'Huillier3,4, Bobbie Ann Adair White5
1Department of Anesthesiology, Uniformed Services University, Bethesda, Maryland, USA erin.barry@usuhs.edu.
BMJ leader
|February 6, 2025
概括
医学学生在临床培训期间经常避免冲突,冲突管理不善普遍存在. 改善沟通,设定明确的期望和培养信任可以加强医疗保健教育中的冲突解决.
科学领域:
- 医学教育 医学教育
- 医疗保健 解决冲突 解决冲突
- 临床培训 临床培训
背景情况:
- 冲突在临床培训中很常见,但医学学生的观点未得到充分研究.
- 现有的研究主要集中在医生和护士身上,忽视了学生的经验.
研究的目的:
- 探索医学学生在职务期间与冲突的经历.
- 从学生的角度识别类型,触发因素和冲突管理风格.
主要方法:
- 167名医学学生完成了对经历或观察到的冲突的反思.
- 专题内容分析用于定量和定性数据.
主要成果:
- 冲突最常见于外科和内科,通常涉及住院生和护理人员.
- 与任务相关的冲突很常见,学生主要使用回避,而其他人则使用竞争. 大多数冲突都是管理不善的.
- 关键触发因素包括不清楚的期望,沟通不良,不安全的环境,不信任和居民压力.
结论:
- 了解学生的冲突观点可以改善医学课程和专业准备.
- 积极的冲突解决需要明确的期望,有效的沟通,心理安全和信任.
- 这些发现对卫生专业的冲突管理培训有更广泛的影响.
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