Operationalizing Healthcare Simulation Psychological Safety A Descriptive Analysis of an Intervention
Operationalizing Healthcare Simulation Psychological Safety A Descriptive Analysis of an Intervention
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DOI：
10.1097/sih.0000000000000253
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发表时间：
2017-10-01
影响因子：
2.4
通讯作者：
Reeder, Ron W.
中科院分区：
文献类型：
--
作者：
Henricksen, Jared W.;Altenburg, Catherine;Reeder, Ron W.
简介：尽管努力准备一个心理安全的环境，模拟参与者偶尔会心理困扰。指导模拟教育工作者有关参与者的心理风险，并为模拟教育工作者提供参与者心理困扰行动计划，可能有助于他们寻求保持所有参与者的心理安全。模拟参与者心理安全算法旨在帮助模拟教育工作者，因为他们听取模拟参与者认为有心理困扰并将这些事件归类为轻度（1级），中度（2级）或重度（3级）。致力于创造一个心理安全的学习环境的预备简报保持不变。该算法在一个活跃的儿科模拟项目中使用了18个月。收集的数据包括参与者的心理困扰水平，由模拟团队使用算法感知和分类，参与者经历的模拟类型，谁汇报，以及在模拟会议期间感知心理困扰发生的时间。Kruskal-Wallis检验被用来评估事件和模拟类型之间的关系，事件和模拟教育工作者的团队谁汇报，以及事件的时间在模拟session.Results：共有3900名参与者经历了399模拟会议之间的2014年8月1日，2016年1月26日。44、（
Introduction: Despite efforts to prepare a psychologically safe environment, simulation participants are occasionally psychologically distressed. Instructing simulation educators about participant psychological risks and having a participant psychological distress action plan available to simulation educators may assist them as they seek to keep all participants psychologically safe.Methods: A Simulation Participant Psychological Safety Algorithm was designed to aid simulation educators as they debrief simulation participants perceived to have psychological distress and categorize these events as mild (level 1), moderate (level 2), or severe (level 3). A prebrief dedicated to creating a psychologically safe learning environment was held constant. The algorithm was used for 18 months in an active pediatric simulation program. Data collected included level of participant psychological distress as perceived and categorized by the simulation team using the algorithm, type of simulation that participants went through, who debriefed, and timing of when psychological distress was perceived to occur during the simulation session. The Kruskal-Wallis test was used to evaluate the relationship between events and simulation type, events and simulation educator team who debriefed, and timing of event during the simulation session.Results: A total of 3900 participants went through 399 simulation sessions between August 1, 2014, and January 26, 2016. Thirty-four (