不同职业对手术室紧张氛围的认知：构建可推广的证据和教育资源。
Perceptions of operating room tension across professions: building generalizable evidence and educational resources.
作者信息
Lingard Lorelei, Regehr Glenn, Espin Sherry, Devito Isabella, Whyte Sarah, Buller Douglas, Sadovy Bohdan, Rogers David, Reznick Richard
机构信息
Wilson Centre for Research in Education, 200 Elizabeth Street, Eaton South 1-605, Toronto, Ontario, Canada.
出版信息
Acad Med. 2005 Oct;80(10 Suppl):S75-9. doi: 10.1097/00001888-200510001-00021.
BACKGROUND
Effective team communication is critical in health care, yet no curriculum exists to teach it. Naturalistic research has revealed systematic patterns of tension and profession-specific interpretation of operating room team communication. Replication of these naturalistic findings in a controlled, video-based format could provide a basis for formal curricula.
METHOD
Seventy-two surgeons, nurses, and anesthesiologists independently rated three video-based scenarios for the three professions' level of tension, responsibility for creating tension and responsibility for resolution. Data were analyzed using three-way, mixed-design analyses of variance.
RESULTS
The three professions rated tension levels of the various scenarios similarly (F=1.19, ns), but rated each profession's responsibility for creating (F=2.86, p<.05) and resolving (F=1.91, p<.01) tension differently, often rating their profession as having relatively less responsibility than the others.
CONCLUSIONS
These results provide an evidence base for team communications training about tension patterns, disparity of professional perspectives, and implications for team function.
背景
有效的团队沟通在医疗保健中至关重要，但尚无相关课程来教授这一内容。自然主义研究揭示了手术室团队沟通中紧张关系的系统模式以及特定职业的解读方式。以可控的、基于视频的形式复制这些自然主义研究结果可为正式课程提供基础。
方法
72名外科医生、护士和麻醉师独立对三个基于视频的场景进行评分，评估三个职业的紧张程度、造成紧张关系的责任以及解决紧张关系的责任。使用三因素混合设计方差分析对数据进行分析。
结果
三个职业对不同场景的紧张程度评分相似（F = 1.19，无显著性差异），但对每个职业造成紧张关系（F = 2.86，p <.05）和解决紧张关系（F = 1.91，p <.01）的责任评分不同，通常认为自己职业的责任相对比其他职业少。
结论
这些结果为团队沟通培训提供了证据基础，内容涉及紧张模式、专业观点差异以及对团队功能的影响。
Zotero 插件