Stephens Georgina C, Lazarus Michelle D
Centre for Human Anatomy Education, Monash University, Clayton, Victoria, Australia.
Monash Centre for Scholarship in Health Education, Monash University, Clayton, Victoria, Australia.
Med Teach. 2024 Aug;46(8):1035-1043. doi: 10.1080/0142159X.2024.2307500. Epub 2024 Jan 29.
Uncertainty is pervasive throughout healthcare practice. Uncertainty tolerance (i.e. adaptively responding to perceived uncertainty) is considered to benefit practitioner wellbeing, encourage person-centred care, and support judicious healthcare resource utilisation. Accordingly, uncertainty tolerance development is increasingly referenced within training frameworks. Practical approaches to support healthcare learners' uncertainty tolerance development, however, are lacking.
Drawing on findings across the literature, and the authors' educational experiences, twelve tips for promoting healthcare learners' uncertainty tolerance were developed.
Tips are divided into 1. Tips for Learners, 2. Tips for Educators and Supervisors, and 3. Tips for Healthcare Education Institutions and Systems. Each tip summarises relevant research findings, alongside applications to educational practice.
Approaches to developing uncertainty tolerance balance factors supporting learners through uncertain experiences, with introducing challenges for learners to further develop uncertainty tolerance. These tips can reassure healthcare education stakeholders that developing learner uncertainty tolerance, alongside core knowledge, is achievable.
不确定性在整个医疗实践中普遍存在。不确定性耐受力(即对感知到的不确定性做出适应性反应)被认为有利于从业者的幸福感,鼓励以患者为中心的护理,并支持明智地利用医疗资源。因此,培训框架中越来越多地提及不确定性耐受力的培养。然而,缺乏支持医疗学习者不确定性耐受力培养的实用方法。
借鉴文献中的研究结果以及作者的教育经验,制定了十二条促进医疗学习者不确定性耐受力的建议。
建议分为1. 给学习者的建议,2. 给教育工作者和督导者的建议,3. 给医疗教育机构和系统的建议。每条建议总结了相关研究结果以及在教育实践中的应用。
培养不确定性耐受力的方法平衡了通过不确定经历支持学习者的因素,同时为学习者引入挑战以进一步培养不确定性耐受力。这些建议可以让医疗教育利益相关者放心,培养学习者的不确定性耐受力以及核心知识是可以实现的。