Kolbe Michaela, Marty Adrian, Seelandt Julia, Grande Bastian
1University Hospital Zurich, Simulation Center, Rämistrasse 100, 8091 Zurich, Switzerland.
2ETH, Zurich, Switzerland.
Adv Simul (Lond). 2016 Nov 15;1:29. doi: 10.1186/s41077-016-0029-7. eCollection 2016.
We submit that interaction patterns within healthcare teams should be more comprehensively explored during debriefings in simulation-based training because of their importance for clinical performance. We describe how can be used for that purpose. Circular questions are based on social constructivism. They include a variety of systemic interviewing methods. The goals of circular questions are to explore the mutual dependency of team members' behavior and recurrent behavior patterns, to generate information, to foster perspective taking, to "fluidize" problems, and to put actions into relational contexts. We describe the nature of circular questions, the benefits they offer, and ways of applying them during debriefings.
我们认为，鉴于医疗团队内部的互动模式对临床绩效的重要性，在基于模拟的培训后的汇报环节中，应更全面地探索这些模式。我们描述了如何将其用于该目的。循环提问基于社会建构主义。它们包括多种系统性访谈方法。循环提问的目的是探究团队成员行为的相互依赖性和反复出现的行为模式，生成信息，促进换位思考，“化解”问题，并将行动置于关系背景中。我们描述了循环提问的本质、它们带来的益处以及在汇报过程中应用它们的方法。
