现在是有意义的时候了:医生和学生对困难反的经验
Leonie Griffiths1, Joanne Hilder2, Elizabeth Molloy1
1The University of Melbourne, AU.
Perspectives on medical education
|September 8, 2025
概括
学习者往往需要数年时间来处理困难的反,参与反思和身份工作. 提供时间和支持网络有助于这种纵向感知,以改善临床实践的发展.
科学领域:
- 医学教育 医学教育
- 定性研究是指质量研究.
- 学习心理学学习的心理学.
背景情况:
- 学习者的经验和反对话的长期影响是不太了解的.
- 有效的反策略是已知的,但随着时间的推移,学习者的意义仍然不清楚.
- 了解困难的反对于支持学习者和改善临床实践至关重要.
研究的目的:
- 为了探索难以反的特征.
- 研究医疗专业人员反感觉形成的时间方面.
- 了解学习者如何理解随着时间的推移具有挑战性的反.
主要方法:
- 收集了32名医生和49名医学学生的书面叙述,这些叙述是关于困难的反体验.
- 使用开放式提示,让参与者描述经验,随时间推移的评估和学习.
- 进行反射的主题分析,由构造主义的意义制造提供信息.
主要成果:
- 困难的反涉及情绪,感知和学习的复杂相互作用.
- 反很少被忽视,即使被认为不合适或威胁.
- 反思和分享反往往跨越多年,帮助身份工作和实践发展.
结论:
- 对困难的反产生意义是一个暂时的过程,它挑战了即时的反应.
- 让学习者有时间进行反思和与网络联系,有助于纵向的感知.
- 这种理解可以为学习者在临床环境中导航具有挑战性的反提供更好的支持.
相关概念视频
Feedback Loops
64.1K
In most cases, excessive hormone production is prevented by negative feedback—a loop that starts with a stimulus inducing the release of a particular substance, like a hormone, to maintain a certain level before triggering a signal that results in a decrease in further release of the hormone.
64.1K
Obedience
35.2K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.2K
Feedback Inhibition
56.9K
Biochemical reactions are occurring constantly in cells, converting starting substances to different products, usually with the help of enzymes that speed the reactions. Without enzymes, it would take far too long for most reactions to occur to be useful to the cell!
56.9K
Positive and Negative Feedback Loops
24.8K
Animal organs and organ systems constantly adjust to internal and external changes through a process called homeostasis ("steady state"). Examples of these changes include regulation of the level of glucose or calcium in the blood or internal responses to external temperatures. Homeostasis requires maintaining an internal dynamic equilibrium:
24.8K
Sources of Self-Esteem II: Performance Feedback
187
Self-esteem is intricately tied to our perception of competence and our ability to exert control over our lives. One of the primary sources of this perception is performance feedback — the ongoing evaluation of our actions in terms of success and failure. According to Franks and Marolla (1976), people derive self-worth from experiencing themselves as causal agents, capable of achieving goals and overcoming obstacles. This process nurtures a critical component of self-esteem:...
187
Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K


