通过实践培训增强医生的自主性。

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES
Giuseppe Stirparo, Luca Gambolò, Dario Bottignole, Daniele Solla, Martino Trapani, Giuseppe Ristagno, Fabrizio Pregliasco, Carlo Signorelli
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引用次数: 0

摘要

背景:在医疗紧急情况下,遵守标准化的临床规程对确保患者获得更好的治疗效果至关重要。在意大利,新近获得资格的医生在为国家卫生服务机构服务时可能会扮演多种角色(替代全科医生、值班、在急诊室工作等)。在这些情况下,医生可能需要自主管理危重病人。此外,新获得资格的医生可能在日常医疗活动中表现出相当大的不足。事实上,许多大学并不提供实际模拟培训课程,这就是为什么相当多的学生在毕业后开始工作时才面临临床紧急情况:研究设计:一项横断面研究由医生参与进行。研究对象包括经验丰富的医生和新获得执照的医生(毕业不到 24 个月):在 2021 年 6 月至 2022 年 12 月的 SIMED 课程期间,向每位参与者发放了调查问卷。问卷由两部分组成。第一部分分析了参加医疗急救标准化实践课程(基础生命支持、高级心脏生命支持、国际创伤生命支持和高级气道管理课程)的情况。结果:共分析了 2 168 份调查问卷,其中 68.7% 来自新晋医生,31.3% 来自经验丰富的医生。参加培训课程的医生中,参加基本生命支持课程的比例最高(77.5%),参加高级创伤课程的比例最低(15.9%)。在基层医疗机构,医生认为自己的自主权最大(63.1%),而在急诊科,医生认为自己的自主权较小(24.0%)。在分析的样本中,经验丰富的医生在所有情况下的自主比例都高于新晋医生(31.4% 对 8.1%):我们的分析表明,医生自我感觉的自主性与参加模拟实践课程之间可能存在关联。虽然通过实践课程进行培训的作用是相关的,但受过培训的专业人员比例不足,因此必须鼓励实施实践培训项目。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing Physicians' Autonomy through Practical Trainings.

Background: In medical emergencies adherence to standardized clinical protocols is crucial to ensure a better outcome for patients. Newly qualified physicians may play several roles in serving the National Health Service (substituting general practitioners, on-call duty, working in emergency rooms, etc.) in Italy. In these situations, the physician may have to manage critical patients autonomously. Moreover, newly qualified physicians may show a considerable deficiency in routine medical activities. In fact, many universities do not provide a practical simulation training programme, which is why a substantial number of students only face clinical emergencies when they start working after graduation.

Study design: A cross-sectional study was performed by engaging medical doctors. Both experienced physicians and newly licensed physicians (graduated less than 24 months ago) were included in the study.

Methods: A questionnaire was distributed to each participant during SIMED's Courses from June 2021 to December 2022. The questionnaire consisted of two sections. The first one analyzed participation in standardized practical courses on medical emer-gencies (Basic Life Support, Advanced Cardiac Life Support, International Trauma Life Support and a course on Advanced Airway Management). The second section analyzed the perceived autonomy of health professionals in the management of five different work settings, using a 5-point likert scale.

Results: 2,168 questionnaires were analyzed, of which 68.7% were from newly qualified doctors and 31.3% from more experienced doctors. The highest rate of physicians who undertook training courses was achieved for the basic life support course (77.5%) and the lowest rate for the advanced trauma course (15.9%). Physicians perceive themselves the highest autonomy in Primary Care setting (63.1%), while in the Emergency Department they perceive themselves with less autonomy (24.0%). In the analyzed sample, experienced physicians show a higher percentage of autonomy than newly qualified doctors (31.4% vs 8.1%) in all scenarios.

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Annali di igiene : medicina preventiva e di comunita
Annali di igiene : medicina preventiva e di comunita HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.40
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69
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