未来医生的沉默:一项实证研究,医学学生中说话行为下降的经验
Hui-Wen Chen1, Yi-Chun Chen2, Hung-Wei Tsai3
1School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Medical teacher
|November 13, 2025
概括
临床经验和场景严重程度降低了医学学生的发言行为,特别是在男性中. 患者安全培训并没有显著影响这一关键的患者安全技能. 需要进一步的干预措施.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 讲出来的行为对于防止患者受到伤害至关重要.
- 增加的临床经验并不能始终改善发言倾向.
- 性别,训练和场景严重程度等因素可能会影响说话行为.
研究的目的:
- 调查临床经验,性别,患者安全培训和场景严重程度对医学学生发言行为的影响.
- 识别影响说话行为的因素,以告知有针对性的教育干预措施.
- 了解这些因素在不同的临床场景中如何相互作用.
主要方法:
- 对来自两个队伍的306名医学学生进行了横截面研究.
- 基于模拟的评估,以评估在各种医疗错误场景中说话的行为.
- 二元物流回归分析以确定经验,性别,训练和发言行为之间的关联.
主要成果:
- 增加的临床经验与减少的发言行为有关 (Exp(B) = 0.916,p=0.005),特别是在男性学生中.
- 学生在危及生命的场景中不太可能发言 (Exp(B) = 0.886,p=0.007).
- 之前的患者安全培训显示,与大声说话行为没有显著的关联.
结论:
- 临床经验,性别和场景类型显著影响说话行为.
- 层次意识和专业关系可能会导致随着经验的增加而产生犹.
- 有针对性的培训,结构化的政策和文化变化对于培养安全的发言环境至关重要.
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