Shelton Clifford L, Mort Maggie M, Smith Andrew F
1Lancaster Medical School, Lancaster University, UK.
2Department of Sociology and Centre for Science Studies, Lancaster University, UK.
J Intensive Care Soc. 2018 Feb;19(1):26-34. doi: 10.1177/1751143717728631. Epub 2017 Sep 6.
Internal jugular cannulation may lead to serious complications. Ultrasound guidance is advocated; however, procedural complications remain a concern. Inconsistent education may be in part responsible for this. This study examined how internal jugular cannulation is taught and learned. An ethnographic approach was used in two acute hospitals. Methods comprised interviews, observations and focus groups. An inductive thematic analysis was undertaken. Three themes were identified: , and In , a new form of apprenticeship learning, necessitated by the structure of training is described. In the strategies by which trainers assess trainees' competence in order to allow them to gain experience is explored. In the beneficial influence of trainees is illustrated. This study demonstrates how high-stakes procedures are learned. It provides insights into under-investigated topics such as the use of 'permitted mistakes' to stimulate reflection and the role played by trainees in promoting good practice.
颈内静脉插管可能会导致严重并发症。提倡使用超声引导；然而，操作并发症仍然令人担忧。教育的不一致可能在一定程度上导致了这一情况。本研究调查了颈内静脉插管的教学与学习方式。在两家急症医院采用了人种志研究方法。方法包括访谈、观察和焦点小组。进行了归纳主题分析。确定了三个主题：[此处原文缺失三个主题的具体内容]。在[此处原文缺失具体主题内容]中，描述了一种因培训结构而产生的新型学徒式学习形式。在[此处原文缺失具体主题内容]中，探讨了培训师评估学员能力以便其获得经验的策略。在[此处原文缺失具体主题内容]中，阐述了学员的有益影响。本研究展示了高风险操作是如何学习的。它为一些研究不足的主题提供了见解，比如利用“允许的错误”来激发反思以及学员在促进良好实践中所起的作用。
