介入:创建尊重和包容的文化 - - 机构计划评估
Gregory C Townsend1, Margaret C Plews-Ogan, James Martindale
1Dr. Townsend: Associate Dean for Diversity and Medical Education and Associate Professor, Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA. Dr. Plews-Ogan: Bernard and Anne Brodie Teaching Professor in General Internal Medicine and Professor, Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA. Dr. Martindale: Associate Professor, Department of Medical Education, University of Virginia School of Medicine, Charlottesville, VA. Dr. Balmer: Director of Continuing Medical Education, University of Virginia School of Medicine, Charlottesville, BA. Dr. Pollart: Senior Associate Dean for Faculty Affairs and Faculty Development and Professor, Department of Family Medicine, University of Virginia School of Medicine, Charlottesville, VA.
在医疗机构的不尊重行为是常见的. 包括培训在内的综合战略使医疗人员能够有效应对和减轻此类事件,促进更有尊重的环境.
科学领域:
- 医疗保健管理
- 组织心理学
- 医学教育
背景情况:
- 对医疗人员的不尊重和偏见是常见的问题.
- 现有的方法往往不足以为工作人员提供足够的干预能力.
研究的目的:
- 描述一个全面的机构策略来解决不尊重的行为.
- 详细说明培训部分,包括应对框架.
- 评估培训干预的有效性.
主要方法:
- 通过政策和信息实施制度变革战略.
- 为员工和实习生制定和提供交互式教育计划.
- 培训工作坊的前后和六个月的纵向评估.
主要成果:
- 参与者报告说,在不尊重的情况下干预显著改善了舒适度.
- 这些障碍包括不安全,安全问题和层次问题.
- 培训提供了有效处理不尊重的资源和技能.
结论:
- 一个全面的,多面性的方法可以有效地解决医疗保健中的不尊重行为.
- 互动培训显著提高了工作人员的干预信心和能力.
- 持续的文化变革需要时间,资源和机构的承诺.
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