经验采样来评估紧急医学的倦怠:一个可接受性和可行性试点试点
Joshua J Baugh1,2, Justin Margolin1, Ali S Raja1,2
1Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts.
The western journal of emergency medicine
|August 12, 2025
概括
经验采样是一种可接受和可行的方法,用于评估急诊室 (ED) 的临床医生福祉. 这种实时数据收集可以识别导致倦怠的因素,并改善紧急医疗工作环境.
科学领域:
- 医学研究 医学研究
- 临床实践中的临床实践
- 医疗保健管理的管理
背景情况:
- 临床医师的倦怠在紧急医疗中正在增加,尽管之前的福利举措.
- 经验抽样提供了一种用于实时测量工作经验的新方法.
- 这种方法可以提供细粒度数据,以确定影响临床医生的福祉的因素.
研究的目的:
- 评估在学术急诊部 (ED) 采集经验样本的可接受性和可行性.
- 探索导致ED中临床医生的积极和消极经验的因素.
- 确定经验抽样的潜力,以确定减少倦怠的目标.
主要方法:
- 在一个大型的,城市的,学术的ED中进行了一项试点研究.
- 使用多学科重点小组开发了一种经验采样工具,包括轮班前,轮班内和轮班后的调查.
- 该工具通过智能手机部署给11名临床医生,每个临床医生分别工作4个班次.
主要成果:
- 实现了高响应率:79%的转班前,73%的转班期间,91%的转班后.
- 参与者发现该工具是可以接受的,并愿意再次使用它;一些人注意到反思的改善.
- 积极的体验与可管理的数量和团队合作有关;负面的体验与拥挤和感觉被压倒有关.
结论:
- 经验采样是衡量在繁忙的学术ED中临床医生的经验的可接受和可行的方法.
- 该方法提供了有关影响临床医生幸福感的因素的宝贵实时数据.
- 使用经验采样进行进一步的研究可能有助于确定减轻紧急医疗中倦怠的策略.
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