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太大声而无法学习? 沟通障碍,心理安全和在手术室的学习
Sarah E Hughes1, Eunice Y Lee2, Andrew S Bolze1
1University of Michigan Medical School, Ann Arbor, Michigan.
Journal of surgical education
|November 9, 2025
概括
通信障碍,如在手术室 (OR) 难听,在医学学生中很常见. 这些挑战显著降低了心理安全,影响了学习和对外科教育的信心.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 患者安全 患者安全
背景情况:
- 操作室 (OR) 通信对于有效的外科培训至关重要.
- 医学学生在OR环境中面临着独特的沟通挑战.
- 心理安全对于学习和专业发展至关重要.
研究的目的:
- 评估医学学生在OR中遇到的沟通挑战的经验.
- 确定这些障碍对学生心理安全的影响.
主要方法:
- 对83名医学学生进行了横截面的匿名调查.
- 参与者已经完成了外科实习,并有OR经验.
- 进行了对自由文本答案的统计分析和主题分析.
主要成果:
- 88%的学生报告说在OR有听力困难.
- 听力困难与较低的心理安全相关,特别是在层次结构和寻求澄清方面.
- 超过三分之二的学生认为听力问题会影响学习,自信和归属感.
结论:
- 与听力相关的沟通障碍在手术室的医学学生中很普遍.
- 这些障碍会对心理安全,学习和信心产生负面影响.
- 实施结构和人际关系变化是包容性外科教育所必需的.
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