从模拟到实践的临床汇报转移:探索障碍和推动者的障碍
Charlotte Jane Dewdney1, Stephen Richard Waite2, Katherine Ralston3
1Postgraduate Education Centre (PEC), Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, EH16 4SA, UK. charlotte.dewdney@nhs.scot.
Advances in simulation (London, England)
|January 13, 2026
概括
临床汇报 (CD) 的采用受到工作环境因素的阻碍. 解决个人责任和工作场所文化是使CD成为医疗保健机构标准实践的关键.
科学领域:
- 医疗保健教育卫生保健教育
- 医疗模拟 医疗模拟
- 患者安全 患者安全
背景情况:
- 临床汇报 (CD) 改善了患者的治疗结果和工作人员的福祉,但缺乏常规采用.
- 工作环境因素对CD的实施和维护有很大的影响.
- 关于工作环境如何影响CD技能转移的研究有限.
研究的目的:
- 探索影响临床汇报技能从模拟到临床实践的临床汇报技能转移的工作环境障碍和推动因素.
主要方法:
- 与15名医疗登记人员进行了半结构面试,两个月的模拟后课程.
- 伯克和哈斯的评估模型被用作概念框架.
- 采访被逐字转录,并使用模板分析进行分析.
主要成果:
- 工作环境的影响,与伯克和哈斯的模型保持一致,显著影响了CD的采用.
- 确定了参与CD的强烈个人责任感.
- 工作场所内的文化变革被强调为使CD.成为可能的必要条件.
结论:
- 工作环境因素既阻碍,又促进了CD从模拟转移到实践.
- 个人责任和工作场所文化是成功实施CD的关键驱动因素.
- 为教育工作者和组织提供建议,以促进CD的广泛采用.
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