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手术室工作人员对医学生的看法。

Operating Room Staff Perceptions of Medical Students.

机构信息

Harvard Medical School, Boston, Massachusetts.

Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

出版信息

J Surg Educ. 2022 Mar-Apr;79(2):370-382. doi: 10.1016/j.jsurg.2021.10.011. Epub 2021 Dec 4.

DOI:10.1016/j.jsurg.2021.10.011
PMID:34876370
Abstract

OBJECTIVE

While the operating room (OR) is a keystone experience, medical students often report negative experiences and intimidation in the OR. The purpose of this study is to describe the perceived role of medical students in the OR by registered nurses and certified surgical technologists to improve medical student education.

DESIGN

A cross-sectional survey of select Massachusetts General Hospital perioperative staff in surgery was conducted through an anonymous survey in March 2021. Statistical analysis included inductive thematic analysis, descriptive statistics, and Mann-Whitney U tests, with a p-value of <0.05. The survey instrument characterized the perception of medical student preparedness for OR-related tasks and free-text responses on the role of medical students in the OR and opportunities for improvement.

SETTING

The study was conducted at the Massachusetts General Hospital, Boston, MA.

PARTICIPANTS

Participants included Massachusetts General Hospital perioperative staff in the Department of Surgery, with 262 registered nurses and 90 certified surgical technologists receiving the survey.

RESULTS

There were 86 completed responses (24.4% response rate). A total of 71.23% of respondents believe medical students should be observational learners in the OR. Areas for improvement include OR etiquette (37.5%), awareness of the surgical field (26.79%), and scrubbing skills (26.79%). A total of 48.8% of staff agreed they enjoy working with medical students, followed by 20.9% who somewhat agree. A total of 27.91% of respondents somewhat agreed that medical students were knowledgeable about OR sterility and scrubbing procedures, followed by 25.58% who somewhat disagreed.

CONCLUSIONS

Operating room staff enjoy working with medical students. The majority of staff believe medical students' role in the OR is that of observational learning. Areas of improvement for medical students include OR etiquette, awareness of the surgical field, scrubbing and gowning skills, and assisting staff whenever needed. Possible solutions include incorporating nursing staff as surgery clerkship stakeholders to optimize medical student experiences in the OR.

摘要

目的

手术室(OR)是一个关键的经验场所,但医学生在 OR 中经常报告负面经历和受到恐吓。本研究的目的是描述注册护士和认证外科技术员对医学生在 OR 中角色的看法,以改善医学生的教育。

设计

2021 年 3 月,通过对马萨诸塞州综合医院手术部围手术期工作人员进行横断面调查,进行了一项匿名调查。统计分析包括归纳主题分析、描述性统计和曼-惠特尼 U 检验,p 值<0.05。调查工具描述了医学生对 OR 相关任务的准备情况的看法,以及对医学生在 OR 中的角色和改进机会的自由文本反应。

地点

该研究在马萨诸塞州综合医院进行,波士顿,MA。

参与者

参与者包括马萨诸塞州综合医院外科部的围手术期工作人员,共有 262 名注册护士和 90 名认证外科技术员收到了调查。

结果

共收到 86 份完整回复(24.4%的回复率)。71.23%的受访者认为医学生应该在 OR 中作为观察学习者。需要改进的领域包括 OR 礼仪(37.5%)、对手术领域的认识(26.79%)和洗手技能(26.79%)。共有 48.8%的工作人员表示他们喜欢与医学生一起工作,其次是 20.9%的人表示有些同意。共有 27.91%的受访者表示,医学生对 OR 无菌和洗手程序的了解程度有些同意,其次是 25.58%的人有些不同意。

结论

手术室工作人员喜欢与医学生一起工作。大多数工作人员认为医学生在 OR 中的角色是观察性学习。医学生需要改进的领域包括 OR 礼仪、对手术领域的认识、洗手和穿衣技能,以及在需要时协助工作人员。可能的解决方案包括将护理人员纳入手术实习利益相关者,以优化医学生在 OR 中的体验。

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