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在手术室的手术护理人员的自主支持和控制教练在手术室
Angela G Atkinson1, Jennifer A H Becker2, Ross E Willis1
1Department of General Surgery, University of Texas Health at San Antonio, San Antonio, Texas.
Journal of surgical education
|January 16, 2026
概括
外科辅导既可以支持自主,也可以控制. 关键主题包括外科医生身份,不断发展的目标和词汇选择,影响在手术期间居民的感知.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 定性研究是指质量研究.
背景情况:
- 有效的外科指导对于住院发展至关重要.
- 了解自主支持和控制辅导之间的细微差别对于优化学习环境至关重要.
研究的目的:
- 确定主题区分自主支持与控制的外科辅导.
- 为了比较手术辅导行为的临床医生和住院医生的看法.
主要方法:
- 18个手术室手术的描述性,探索性案例系列.
- 对主治医生与住院医生的互动进行反思性的专题分析.
- 术后调查对感知辅导行为的定量分析.
主要成果:
- 辅导行为是多样化的,受外科医生的身份,不断变化的手术内目标和词汇选择的影响.
- 即使在高风险的情况下,通过认知参与和脚手架,自主支持辅导也是可能的.
- 在不同类别的自主支持行为的感知频率中没有发现显著差异.
结论:
- 参与手术的外科医生在手术室中展示了自主支持和控制的辅导风格.
- 需要进一步的研究来确定最佳的辅导策略并提供建议.
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