超越对不起:医学同事道歉的承认-修复-预防 (ARP) 框架
1Medical Education and Clinical Sciences, Washington State University, Spokane, USA.
Cureus
|February 2, 2026
概括
机构经常强制要求患者道歉,但忽视了对同事的伤害,导致燃烧和护理断裂. 一个新的认可-修复-预防 (ARP) 框架为工作场所冲突提供了系统解决方案,并提高了患者安全.
科学领域:
- 医学伦理 医学伦理
- 医疗保健管理的管理
- 组织心理学是组织心理学.
背景情况:
- 患者的道歉是医疗保健中的标准,但同事对同事的伤害,包括欺凌和解雇,往往没有得到解决.
- 未解决的工作场所冲突会对临床医生的倦怠,员工流动和协调患者护理的质量产生负面影响.
研究的目的:
- 检查强制患者道歉和忽视同事伤害之间的制度差异.
- 提出一个新的框架来解决和预防医疗保健工作场所的伤害.
主要方法:
- 这篇视角文章分析了现有的道歉模型,并提出了认可-修复-预防 (ARP) 框架.
- ARP框架将预防策略整合到系统质量改进计划中.
主要成果:
- 现有的道歉模式主要集中在即时修复上,缺乏关键的预防组件.
- 拟议的ARP框架强调恢复性司法和系统性质量改善,以解决工作场所冲突.
结论:
- 实施ARP框架需要面对结构性障碍,如等级制度和自我.
- 在医疗机构内,ARP框架有潜力重建内部信任并增强患者安全文化.
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