Rixon Andrew, Wilson Samuel, Wong Lee Yung, Elder Elizabeth
Department of Business Strategy and Innovation, Griffith Business School, Griffith University, Gold Coast, Queensland, Australia.
Centre for Work, Organisation and Wellbeing, Griffith University, Gold Coast, Queensland, Australia.
Emerg Med Australas. 2025 Feb;37(1):e70001. doi: 10.1111/1742-6723.70001.
Coaching as a discipline has seen significant growth in medicine over the last decade, especially in medical education, but is at the early stages of recognition in emergency medicine. The objective of this systematic review was to provide insight into the state of coaching practice and research in emergency medicine and outline a future research agenda. Based on PRISMA guidelines, a structured electronic literature search of Embase, Scopus and EBSCOhost was conducted. Studies were included if they met all three criteria for population ('clinicians'), concept ('coaching'), context ('emergency medicine') and were published in peer-reviewed empirical studies between 2004 and 2024. Data extraction was performed by one investigator and checked for accuracy by a second investigator. A quality assessment was conducted. Of the 1441 unique articles identified in the initial search, 13 studies met the inclusion criteria. Our review revealed three key findings: coaching is examined in relation to clinician well-being and resilience, non-technical skills, and clinician technical skills, however its influence upon non-technical skills is the main focus; coaching studies are predominantly outcome studies, with process studies receiving little attention and; a range of theories and models are used in studies of coaching in emergency medicine. This review revealed that coaching research in emergency medicine is in its infancy, highly fragmented and largely disconnected from the wider coaching research literature. Nevertheless, despite the early stages of the current research base of coaching in emergency medicine, this nascent field is rich with opportunities for future research.
在过去十年中，作为一门学科的指导在医学领域取得了显著发展，尤其是在医学教育方面，但在急诊医学中的认可度仍处于早期阶段。本系统综述的目的是深入了解急诊医学中指导实践和研究的现状，并概述未来的研究议程。根据PRISMA指南，对Embase、Scopus和EBSCOhost进行了结构化电子文献检索。如果研究符合人群（“临床医生”）、概念（“指导”）、背景（“急诊医学”）的所有三个标准，并发表于2004年至2024年期间的同行评审实证研究中，则纳入研究。由一名研究人员进行数据提取，并由另一名研究人员检查准确性。进行了质量评估。在初始检索中识别出的1441篇独特文章中，有13项研究符合纳入标准。我们的综述揭示了三个关键发现：指导与临床医生的幸福感和恢复力、非技术技能以及临床医生技术技能相关，但对非技术技能的影响是主要关注点；指导研究主要是结果研究，过程研究很少受到关注；急诊医学指导研究中使用了一系列理论和模型。本综述表明，急诊医学中的指导研究尚处于起步阶段，高度分散，且在很大程度上与更广泛的指导研究文献脱节。尽管急诊医学中指导的当前研究基础尚处于早期阶段，但这个新兴领域充满了未来研究的机会。
