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名字里有什么?角色清晰远不止一个简单的头衔。

What's in a Name? Role Clarity Goes Well Beyond a Simple Title.

作者信息

Turner David A, Rehder Kyle J, Nagler Alisa, Aucoin Julia, Edwards Pam, Kuhn Catherine

机构信息

Graduate Medical Education, Duke University Hospital and Health System, Durham, NC, USA.

Department of Pediatrics, Pediatric Critical Care Medicine Fellowship, Duke University Hospital, Durham, NC, USA.

出版信息

J Patient Exp. 2019 Dec;6(4):325-328. doi: 10.1177/2374373518803615. Epub 2018 Oct 10.

DOI:10.1177/2374373518803615
PMID:31853489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6908987/
Abstract

BACKGROUND

Role clarity is important for patient care but challenging in graduate medical education (GME).

METHODS

Badge buddies were integrated for all GME trainees at a single institution, and surveys were conducted prior to and 5 months following implementation.

RESULTS

There were 932 pre- and 498 postimplementation respondents. Following implementation, both trainees and nurses reported improved awareness of GME training level, but there were no changes in patient/family perceptions.

CONCLUSIONS

Badge buddies improved caregiver awareness of GME training level but did not impact patient/family perception. Patients appear to be focused primarily on relationships with caregivers and communication skills rather than a provider's specific role.

摘要

背景

角色明确对患者护理很重要,但在毕业后医学教育(GME)中具有挑战性。

方法

在单一机构为所有GME学员引入了身份标识伙伴,并在实施前和实施后5个月进行了调查。

结果

实施前有932名受访者,实施后有498名受访者。实施后,学员和护士都报告说对GME培训水平的认识有所提高,但患者/家属的看法没有变化。

结论

身份标识伙伴提高了护理人员对GME培训水平的认识,但未影响患者/家属的看法。患者似乎主要关注与护理人员的关系和沟通技巧,而不是提供者的具体角色。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f9/6908987/0d3e12a413a6/10.1177_2374373518803615-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f9/6908987/0d3e12a413a6/10.1177_2374373518803615-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f9/6908987/0d3e12a413a6/10.1177_2374373518803615-fig1.jpg

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本文引用的文献

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Exploring the effects of medical trainee naming: a randomized experiment.探索医学实习生命名的影响:一项随机实验。
Perspect Med Educ. 2016 Apr;5(2):114-121. doi: 10.1007/s40037-016-0260-x.
2
Understanding the role of physician attire on patient perceptions: a systematic review of the literature--targeting attire to improve likelihood of rapport (TAILOR) investigators.了解医生着装对患者认知的作用:文献系统综述——旨在改善建立融洽关系可能性的着装研究(TAILOR)调查人员
BMJ Open. 2015 Jan 19;5(1):e006578. doi: 10.1136/bmjopen-2014-006578.
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The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients.
英国医院医生识别证的可解释性:对护士和患者的调查。
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Evaluation of multidisciplinary simulation training on clinical performance and team behavior during tracheal intubation procedures in a pediatric intensive care unit.多学科模拟训练对儿科重症监护病房气管插管过程中临床表现和团队行为的评估。
Pediatr Crit Care Med. 2011 Jul;12(4):406-14. doi: 10.1097/PCC.0b013e3181f52b2f.
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Resident physician attire: does it make a difference to our patients?住院医师着装:对我们的患者有影响吗?
Am J Obstet Gynecol. 2004 May;190(5):1484-8. doi: 10.1016/j.ajog.2004.02.022.