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在研究生医学教育学习环境中探索心理安全的构造:一个范围审查
Anna K Weiss1, Katie Schultz2, Brittany C Guttadauria3
1Center for Leadership and Innovation in Medical Education, Children's Hospital of Philadelphia, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
概括
心理安全 (PS) 对研究生医学教育 (GME) 实习生福祉和学习至关重要. 需要进一步的研究,以了解如何在临床学习环境 (CLE) 中创建PS,特别是对于边缘化个体.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 医疗保健管理的管理
背景情况:
- 医学中的心理安全 (PS) 奖学金主要针对患者安全和本科医学教育.
- 关于PS对研究生医学教育 (GME) 实习生学习经验的影响的研究有限.
- 在GME临床学习环境 (CLE) 中理解PS对于实习生发展至关重要.
研究的目的:
- 在临床学习环境 (CLE) 中对医学研究生 (GME) 实习生进行心理安全 (PS) 现象的范围审查.
- 探索PS在塑造GME学习者的学习经验中的作用.
- 找出关于为GME实习生创建PS的文献上的空白.
主要方法:
- 使用了阿克西和奥马利的五步框架,包括莱瓦克的第六步 (关键线人咨询).
- 在2022年11月和2025年2月进行了主要数据库 (PubMed,Scopus,Web of Science,Embase,PsychInfo) 的全面搜索.
- 采用主题分析来编码和从44篇纳入文章的集群发现.
主要成果:
- 调查结果确定了PS的三个关键作用:培训员福利和学习的基础,对CLE居民满意度的衡量标准,以及有效教学和监督的指标.
- 该审查包括2014年至2025年间发表的44篇文章,其中28篇是原创研究.
- PS与改善的实习生福祉,增强的居民学习和积极的监督行为相关.
结论:
- 心理安全的存在与训练员福祉,居民学习和监督效率的提高有关.
- 在理解GME内部创建PS的具体方法方面存在重大差距.
- 需要进一步调查,特别是关于对边缘化的GME实习生实施PS的情况.
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