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提升住院医师解决工作场所跨专业冲突能力的基础要点

The ABC's of Enhancing Medical Residents Approach to Resolving Interprofessional Conflicts in Workplace.

作者信息

Surapaneni Krishna Mohan

机构信息

Department of Biochemistry, Panimalar Medical College Hospital, Research Institute, Varadharajapuram, Poonamallee, Chennai - 600 123, Tamil Nadu, India.

Department of Medical Education, Panimalar Medical College Hospital, Research Institute, Varadharajapuram, Poonamallee, Chennai - 600 123, Tamil Nadu, India.

出版信息

J Adv Med Educ Prof. 2025 Apr 1;13(2):149-154. doi: 10.30476/jamp.2024.103738.2020. eCollection 2025 Apr.

DOI:10.30476/jamp.2024.103738.2020
PMID:40308469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12037980/
Abstract

Interprofessional conflicts (IC) in healthcare settings pose significant challenges for medical residents, who are often trained in discipline-specific environments. The transition to a multidisciplinary team approach, which is increasingly necessary in modern healthcare, can be difficult without proper training in communication, negotiation, and teamwork. This article explores the gaps in Graduate Medical Education regarding interprofessional collaboration and offers a framework-the ABCs (Acknowledgment of Expertise, Balancing Power Dynamics, Clear Communication)-to enhance medical residents' ability to resolve conflicts. Implementing these strategies not only improves the work environment for residents but also enhances patient care and promotes a more integrated healthcare system.

摘要

医疗环境中的跨专业冲突(IC)给医学生带来了重大挑战,他们通常是在特定学科的环境中接受培训的。在现代医疗中,向多学科团队方法的转变日益必要,但如果没有在沟通、谈判和团队合作方面的适当培训,这一转变可能会很困难。本文探讨了毕业后医学教育在跨专业协作方面的差距,并提供了一个框架——ABC原则(承认专业知识、平衡权力动态、清晰沟通),以提高医学生解决冲突的能力。实施这些策略不仅能改善住院医师的工作环境,还能提升患者护理水平,并促进更综合的医疗体系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/12037980/f22741c7cb55/JAMP-13-149-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/12037980/e7adbec2d676/JAMP-13-149-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/12037980/f22741c7cb55/JAMP-13-149-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/12037980/e7adbec2d676/JAMP-13-149-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/12037980/f22741c7cb55/JAMP-13-149-g002.jpg

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本文引用的文献

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Impact of a Grand Rounds Interprofessional Workshop: student perceptions of interprofessional socialization and cultural humility.跨专业轮训研讨会的影响:学生对跨专业社会化和文化谦逊的看法。
J Interprof Care. 2024 May-Jun;38(3):460-468. doi: 10.1080/13561820.2023.2287671. Epub 2023 Dec 21.
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Interprofessional Collaboration Between Nurses and Physicians in the Perioperative Period.围手术期护士与医生的跨专业协作
J Perianesth Nurs. 2023 Oct;38(5):724-731. doi: 10.1016/j.jopan.2022.12.002. Epub 2023 May 20.
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Exploring healthcare staff narratives to gain an in-depth understanding of changing multidisciplinary team power dynamics during the COVID-19 pandemic.
探索医疗保健人员的叙述,深入了解 COVID-19 大流行期间多学科团队权力动态的变化。
BMC Health Serv Res. 2023 May 1;23(1):419. doi: 10.1186/s12913-023-09406-7.
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Developing Cultural Humility Through an Interprofessional Clinical Education Experience.通过跨专业临床教育体验培养文化谦逊。
Nurse Educ. 2023;48(5):E153-E157. doi: 10.1097/NNE.0000000000001379. Epub 2023 Feb 17.
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Power dynamics and interprofessional collaboration: How do community pharmacists position general practitioners, and how do general practitioners position themselves?权力动态与跨专业协作:社区药剂师如何看待全科医生,以及全科医生如何看待自己?
J Interprof Care. 2023 Jan 3:1-8. doi: 10.1080/13561820.2022.2148637.
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The art of interprofessional psychosocial communication: Optimizing patient interfaces with psychiatric specialists in liver transplantation.跨专业精神社会沟通艺术:优化肝移植中与精神科专家的患者接口。
Transplant Rev (Orlando). 2022 Dec;36(4):100728. doi: 10.1016/j.trre.2022.100728. Epub 2022 Oct 29.
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Communication and Collaboration.沟通与协作。
Surgery. 2022 Nov;172(5):1291. doi: 10.1016/j.surg.2022.09.021.
8
Interprofessional Rounds to Improve Team Communication and Decrease Length of Stay on an Inpatient Unit.跨专业团队查房改善团队沟通并缩短住院患者的住院时间。
Clin J Oncol Nurs. 2022 Sep 15;26(5):553-558. doi: 10.1188/22.CJON.553-558.
9
Knowledge and Readiness for Interprofessional Learning Among Pharmacy and Clinical Nutrition Students at King Saud University.沙特国王大学药学与临床营养专业学生的跨专业学习知识与准备情况
J Multidiscip Healthc. 2022 Sep 5;15:1965-1970. doi: 10.2147/JMDH.S360608. eCollection 2022.
10
Understanding Feedback for Learners in Interprofessional Settings: A Scoping Review.理解跨专业环境中学习者的反馈:范围综述。
Int J Environ Res Public Health. 2022 Aug 29;19(17):10732. doi: 10.3390/ijerph191710732.