"你不能在这个游戏中拥有自我":一个模拟预备的质量调查小儿科小组反思的模拟预备
Rustin Meister1, Mary E McBride2, Jan B Schmutz3
1Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina, USA.
Medical education
|November 14, 2025
概括
儿科重症监护团队的行动前团队反思 (TR) 改善了心理安全和规划. 将TR整合到团队中可以提高准备和协调,以获得更好的患者护理.
科学领域:
- 医疗保健团队动态 医疗保健团队动态
- 患者安全 患者安全
- 医疗模拟 医疗模拟
背景情况:
- 急性护理儿科团队需要适应能力,以防止患者在复杂情况下受到伤害.
- 团队聚集和适应策略可以减轻风险.
- 团队反思 (TR) 是一个团队有意识地审查目标和策略以适应的过程.
研究的目的:
- 探索跨专业团队在患者到来之前对行动前团队反思 (TR) 的经验.
- 了解模拟群体中的TR行为如何影响团队功能.
- 确定TR作为改善团队表现和患者结果的潜在策略.
主要方法:
- 使用模拟与11个多学科儿科重症监护团队进行定性调查.
- 团队参与了一个模拟的患者移交和护理规划场景.
- 使用TuRBO框架 (寻找,评估,规划) 的重点小组和专题分析.
主要成果:
- 行动前的TR行为促进了心理安全,减少了输入障碍,并支持了包容性领导力.
- TR增强了共享的心理模型生成,导致更有效和高效的规划.
- TR行为强化了团队动态,如熟悉,信任和心理安全,显示出自我放大效应.
结论:
- 行动前的TR行为增强了团队的参与和协调,在培训和实践中非常有价值.
- 将TR整合到团队聚集中是一种可行的方法,可以改善团队训练,动态和准备.
- 需要进一步的研究来量化TR对团队表现和患者结果的影响.
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