Tekïn Murat, Uysal İbrahim, Toraman Çetin, Akman Canan, Aytuğ Koşan Ayşen Melek, Postaci Emine Sevïnç
Department of Medical Education, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
Department of First and Emergency Aid, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
BMC Med Educ. 2023 Feb 20;23(1):121. doi: 10.1186/s12909-023-04091-w.
This study examined the effects of social interaction, cognitive flexibility, and seniority on the correct response among emergency ambulance teams during case intervention.
The research, structured with the sequential exploratory mixed method, was conducted with 18 emergency ambulance personnel. The approach process of the teams working on the scenario was video recorded. The records were transcribed by the researchers, including gestures and facial expressions. Discourses were coded and modeled with regression.
The number of discourses was higher in groups with high correct intervention scores. As the level of cognitive flexibility or seniority increased, the correct intervention score tended to decrease too. Informing has been identified as the only variable that positively affects the correct response to the emergency case, especially in the first period, which is directed toward case intervention preparation.
Within the findings of the research, it is recommended that activities and scenario-based training practices that will increase the intra-team communication of the emergency ambulance personnel should be included in the medical education and in-service training.
本研究考察了社交互动、认知灵活性和资历对急救医疗队在病例干预过程中正确反应的影响。
本研究采用序贯探索性混合方法，对18名急救医疗人员进行了研究。对处理该场景的团队的操作过程进行了视频记录。研究人员对记录进行了转录，包括手势和面部表情。对话被编码并用回归模型进行分析。
正确干预得分高的组中的对话数量更多。随着认知灵活性或资历水平的提高，正确干预得分也往往会降低。已确定告知是对紧急病例正确反应有积极影响的唯一变量，尤其是在针对病例干预准备的第一阶段。
根据研究结果，建议在医学教育和在职培训中纳入能够增加急救医疗人员团队内部沟通的活动和基于场景的培训实践。
