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戴着帽子并模糊界限:协调临床模拟教育工作者的专业身份

Wearing hats and blending boundaries: harmonising professional identities for clinician simulation educators.

作者信息

Dace William, Purdy Eve, Brazil Victoria

机构信息

Gold Coast University Hospital Emergency Department, Southport, Queensland, Australia.

Faculty of Health Sciences & Medicine, Bond University, Gold Coast, Queensland, Australia.

出版信息

Adv Simul (Lond). 2022 Oct 27;7(1):35. doi: 10.1186/s41077-022-00229-w.

Abstract

Many clinicians working in healthcare simulation struggle with competing dual identities of clinician and educator, whilst those who harmonise these identities are observed to be highly effective teachers and clinicians. Professional identity formation (PIF) theories offer a conceptual framework for considering this dilemma. However, many clinician simulation educators lack practical guidance for translating these theories and are unable to develop or align their dual identities.An unusual experience involving the first author's suspension of disbelief as a simulation facilitator sparked a novel reflection on his dual identity as a clinician and as a simulation educator. He re-framed his clinician and simulation 'hats' as cooperative and fluid rather than competing and compartmentalised. He recognised that these dual identities could flow between clinical and simulation environments through leaky 'blended boundaries' rather than being restricted by environmental demarcations.This personal story is shared and reflected upon to offer a practical 'hats and boundaries' model. Experimenting with the model in both clinical and simulation workplaces presents opportunities for PIF and alignment of dual identities. The model may help other clinician simulation educators navigate the complexities of merging their dual identities.

摘要

许多从事医疗模拟工作的临床医生在协调临床医生和教育工作者这两种相互冲突的双重身份时面临困难,而那些能协调好这些身份的人则被认为是非常出色的教师和临床医生。职业身份形成(PIF)理论为思考这一困境提供了一个概念框架。然而,许多临床模拟教育工作者缺乏将这些理论付诸实践的指导,无法发展或协调他们的双重身份。第一作者作为模拟促进者的一次不同寻常的经历,即暂时放下怀疑,引发了他对自己作为临床医生和模拟教育工作者双重身份的全新思考。他将自己临床医生和模拟的“角色”重新定义为合作且灵活的,而非相互竞争和分隔的。他认识到,这些双重身份可以通过有漏洞的“融合边界”在临床和模拟环境之间流动,而不是受环境界限的限制。分享并反思这个个人故事是为了提供一个实用的“角色与边界”模型。在临床和模拟工作场所对该模型进行试验,为职业身份形成和双重身份的协调提供了机会。该模型可能有助于其他临床模拟教育工作者应对融合其双重身份的复杂性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e29e/9615167/f78d47f3cfb8/41077_2022_229_Fig1_HTML.jpg

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