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外科实习生心理安全的障碍和促进者
Jennifer H Chen1, Alyssa A Pradarelli2, Julie Evans3
1Department of Surgery, Baylor College of Medicine, Houston, Texas.
手术培训中的心理安全受到教师文化和系统因素的影响. 促进信任和使脆弱性正常化是改善外科实习生的学习环境的关键促进因素.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 心理安全 心理安全
背景情况:
- 心理安全对于医学教育中的有效学习至关重要.
- 在外科培训中影响心理安全的具体因素尚不清楚.
研究的目的:
- 为了确定障碍和促进手术学员心理安全的障碍.
- 了解临床学习环境对学员心理安全的影响.
主要方法:
- 定性研究涉及对25名外科实习生进行半结构面试.
- 使用解释性描述方法对成绩单进行诱导编码.
- 这项研究在9家具有多样性关联的教学医院进行.
主要成果:
- 确定了四个关键障碍:公开羞辱,围绕质疑的紧张关系,教师驱动的文化和有缺陷的系统因素.
- 确定了三个关键促进者:促进心理安全,建立信任和使脆弱性正常化.
- 实习生报告说,虐待和对判断的恐惧是有害的;故意的教师行动和加强信任是有益的.
结论:
- 七个因素 (个人,人际关系,组织) 影响外科培训中的心理安全.
- 这些发现可以为加强外科实习生心理安全的干预提供信息.
- 解决公开羞辱等障碍,培养信任是安全学习环境的关键.
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