Roland Damian, Matheson David, Coats Timothy, Martin Graham
SAPPHIRE Group, Department of Health Sciences, University of Leicester, Leicester, UK Emergency Medicine Academic Group, University Hospitals of Leicester NHS Trust, Leicester, UK.
Carnegie Faculty, Leeds Beckett University, Leeds, UK.
BMJ Open. 2015 Nov 4;5(11):e008521. doi: 10.1136/bmjopen-2015-008521.
The terms confidence and competence have been poorly defined and are often misused by junior doctors. Given safe practice relies on healthcare professionals being aware of their own skill sets improving self-assessment of confidence and competence is important. The aim of this work was to explore junior doctors' understanding of how they perceive their own performance in respect of managing feverish children in an emergency department.
A children's emergency department in a tertiary hospital in the East Midlands, UK.
22 Junior doctors volunteered to undertake focus groups via a meta-planning methodology over 2 years (14 participants in the first year and 8 in the second).
Although doctors were aware of the difference between confidence and competence they were not able to distinguish between them in practical terms. The feeling of being 'safe' emerged as a term in which there was a shared understanding compared to reported confidence and competence.
A perception of 'safeness' is a concept that may aid self-evaluation and we present a matrix that might be used by supervisors and educators to examine this and its relationship with confidence and competence.
“信心”和“能力”这两个术语定义不明确，初级医生经常误用。鉴于安全实践依赖于医护人员了解自己的技能组合，提高对信心和能力的自我评估很重要。这项工作的目的是探讨初级医生对自己在急诊科处理发热儿童方面表现的理解。
英国东米德兰兹郡一家三级医院的儿童急诊科。
22名初级医生通过元规划方法在两年内自愿参加焦点小组（第一年14名参与者，第二年8名）。
尽管医生们意识到信心和能力之间的差异，但在实际操作中他们无法区分两者。与报告的信心和能力相比，“安全”感成为一个有共同理解的术语。
“安全感”的认知是一个可能有助于自我评估的概念，我们提出了一个矩阵，主管和教育工作者可以用它来审视这一概念及其与信心和能力的关系。
