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向医学生传授冲突管理:一项随机对照试验。

Teaching conflict management to medical students: a randomized controlled trial.

作者信息

Mohseni Fatemeh, Mohammadi Aeen, Mafinejad Mahboobeh Khabaz, Khajavirad Nasim, Basiri Kamal, Gruppen Larry D

机构信息

Education Development Center, Gerash University of Medical Sciences, Gerash, Iran.

Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Med Educ. 2024 Dec 20;24(1):1507. doi: 10.1186/s12909-024-06514-8.

DOI:10.1186/s12909-024-06514-8
PMID:39707323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11662774/
Abstract

BACKGROUND

Conflict is an inevitable aspect of healthcare team collaboration. Effective conflict management training can improve the performance of healthcare teams. This study aimed to investigate the effect of conflict management education based on the Fogg model on the attitude of medical students toward conflict management.

METHOD

This randomized controlled trial was conducted at Tehran University of Medical Sciences in 2022-2023. Freshman medical students volunteered to participate in this study. Then, they were randomly divided into intervention (12 groups of 4 people, n = 48) and control (12 groups of 4 people, n = 48) groups. The intervention groups received Fogg model-based education, and the control groups were taught using a conventional method. Student attitudes toward conflict management were evaluated using the Conflict Management Attitude questionnaire.

RESULTS

The intervention group showed significantly higher mean total attitude scores and scores for subscales 2 and 3 in the post-test compared to the control group (P = 0.003, P = 0.001, and P = 0.001, respectively). When the pre-test was included as a covariate, ANCOVA results showed a significant increase in the total attitude score of students (P = 0.010) as well as in the scores for subscales 2 and 3 following the educational intervention (P = 0.004, and P = 0.003, respectively).

CONCLUSION

This study showed that intervention in conflict management using the Fogg model can improve the attitude of medical students toward conflict management. This approach can help medical educators use creative, model-based methods in teaching conflict management to prepare students to work in healthcare teams.

摘要

背景

冲突是医疗团队协作中不可避免的一个方面。有效的冲突管理培训可以提高医疗团队的绩效。本研究旨在探讨基于福格模型的冲突管理教育对医学生冲突管理态度的影响。

方法

本随机对照试验于2022 - 2023年在德黑兰医科大学进行。大一医学生自愿参与本研究。然后,他们被随机分为干预组(12组,每组4人,n = 48)和对照组(12组,每组4人,n = 48)。干预组接受基于福格模型的教育,对照组采用传统方法授课。使用冲突管理态度问卷评估学生对冲突管理的态度。

结果

与对照组相比,干预组在测试后的平均总态度得分以及分量表2和3的得分显著更高(分别为P = 0.003、P = 0.001和P = 0.001)。当将预测试作为协变量纳入时,协方差分析结果显示,教育干预后学生的总态度得分(P = 0.010)以及分量表2和3的得分(分别为P = 0.004和P = 0.003)显著增加。

结论

本研究表明,使用福格模型进行冲突管理干预可以改善医学生对冲突管理的态度。这种方法可以帮助医学教育工作者在冲突管理教学中使用基于模型的创新方法,使学生为在医疗团队中工作做好准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d8/11662774/ab3b4cecb1f8/12909_2024_6514_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d8/11662774/457e18ac0a58/12909_2024_6514_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d8/11662774/55baea77b052/12909_2024_6514_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d8/11662774/ab3b4cecb1f8/12909_2024_6514_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d8/11662774/457e18ac0a58/12909_2024_6514_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d8/11662774/55baea77b052/12909_2024_6514_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d8/11662774/ab3b4cecb1f8/12909_2024_6514_Fig3_HTML.jpg

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本文引用的文献

1
Teaching Conflict Management Skills to Medical Students: A Scoping Review.向医学生传授冲突管理技能:一项范围综述。
Med J Islam Repub Iran. 2024 Mar 5;38:24. doi: 10.47176/mjiri.38.24. eCollection 2024.
2
Development and validation of conflict management attitude questionnaire for medical students.医学生冲突管理态度问卷的编制与验证。
BMC Med Educ. 2022 Dec 12;22(1):860. doi: 10.1186/s12909-022-03928-0.
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Attitudes, Habits, and Behavior Change.态度、习惯和行为改变。
Annu Rev Psychol. 2022 Jan 4;73:327-352. doi: 10.1146/annurev-psych-020821-011744. Epub 2021 Sep 29.
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Conflict Management Education in the Intensive Care Unit.重症监护病房中的冲突管理教育。
Am J Crit Care. 2020 Nov 1;29(6):e135-e138. doi: 10.4037/ajcc2020886.
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"Hot Seat" Simulation to Teach Conflict Management Skills to Residents.“热椅”模拟教学法在住院医师医患沟通技能培训中的应用
J Grad Med Educ. 2020 Aug;12(4):485-488. doi: 10.4300/JGME-D-19-00594.1.
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Microlearning in Health Professions Education: Scoping Review.卫生专业教育中的微学习:范围综述
JMIR Med Educ. 2019 Jul 23;5(2):e13997. doi: 10.2196/13997.
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Reducing interprofessional conflict in healthcare: Implementing conflict management training into the medical student curriculum.减少医疗保健中的跨专业冲突:将冲突管理培训纳入医学生课程。
Med Teach. 2019 Sep;41(9):1091-1092. doi: 10.1080/0142159X.2019.1583325. Epub 2019 Mar 28.
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Teaching Conflict Resolution in Medicine: Lessons From Business, Diplomacy, and Theatre.医学领域中的冲突解决教学:来自商业、外交和戏剧的经验教训。
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N Engl J Med. 2018 Jan 25;378(4):309-311. doi: 10.1056/NEJMp1716845.