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[专业精神:专科医学培训中的价值观与能力]

[Professionalism: Values and competences in specialized medical training].

作者信息

Giménez N, Alcaraz J, Gavagnach M, Kazan R, Arévalo A, Rodríguez-Carballeira M

机构信息

Comité de Docencia, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Barcelona, España; Comité de Ética Asistencial, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Barcelona, España; Unidad de Investigación, Fundación para la Investigación Mútua Terrassa, Universitat de Barcelona, Barcelona, España; Laboratorio de Toxicología, Universitat Autònoma de Barcelona, Barcelona, España.

BCN Science, Barcelona, España.

出版信息

Rev Calid Asist. 2017 Jul-Aug;32(4):226-233. doi: 10.1016/j.cali.2016.11.001. Epub 2017 Feb 1.

DOI:10.1016/j.cali.2016.11.001
PMID:28161302
Abstract

OBJECTIVE

To determine the perception of healthcare professionals (tutors, residents and teaching collaborators) involved in specialist medical training on the core values and skills to develop their tasks.

METHODS

A tailor-made questionnaire aimed at healthcare professionals in 9health care centres and a referral hospital. Questionnaire: 4 sections and 51 variables (scale 1-10).

RESULTS

A total of 287 professionals participated, which included 97% tutors (n=59), 38% residents (n=61), and 56% others (97 teaching collaborators and 70 not associated with teaching). The alfa Cronbach coefficient was 0.945. Best rated values were work compliance (8.7 points), ethics in professional practice (8.6 points), and respect for their team (8.3 points). The best rated competence was communication with patients and families (8.1 points), followed by self-motivating leadership (7.9 points), and the practical application of medical and healthcare theoretical knowledge (7.8 points). The values received, on average, 0.7 points above competences (95% CI: 0.5-0.9). There were no differences between tutors and residents, although differences were found between doctors and nurses, and between males and females.

CONCLUSION

Most of the professionals (tutors, residents, and teaching collaborators) share the same perception of the values and competencies that influence their professional development. This perception was influenced by the professional category and gender, but not age or working in a hospital or primary health care.

摘要

目的

确定参与专科医学培训的医疗保健专业人员(导师、住院医师和教学合作者)对开展其工作所需核心价值观和技能的看法。

方法

针对9个医疗保健中心和一家转诊医院的医疗保健专业人员设计了一份特制问卷。问卷:4个部分,51个变量(1 - 10分制)。

结果

共有287名专业人员参与,其中包括97%的导师(n = 59)、38%的住院医师(n = 61)以及56%的其他人员(97名教学合作者和70名非教学相关人员)。克朗巴哈系数为0.945。评分最高的价值观是工作合规性(8.7分)、职业实践中的道德规范(8.6分)以及对团队的尊重(8.3分)。评分最高的能力是与患者及家属的沟通(8.1分),其次是自我激励型领导力(7.9分)以及医学和医疗保健理论知识的实际应用(7.8分)。价值观的平均得分比能力得分高出0.7分(95%置信区间:0.5 - 0.9)。导师和住院医师之间没有差异,但医生和护士之间以及男性和女性之间存在差异。

结论

大多数专业人员(导师、住院医师和教学合作者)对影响其职业发展的价值观和能力有着相同的看法。这种看法受专业类别和性别的影响,但不受年龄、是否在医院或初级卫生保健机构工作的影响。

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