Managing the negatives of experience in physician teams.
Managing the negatives of experience in physician teams.
复制标题
管理医生团队经验的负面影响。
DOI：
10.1097/hmr.0b013e3181c22bfb
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发表时间：
2010
影响因子：
2.5
通讯作者：
Hoff,Timothy
中科院分区：
文献类型：
--
作者：
Hoff,Timothy
方法：在位于美国东北部的一个学术医疗中心的两种不同的工作环境中，对医生团队（n= 17名医生）的正常工作日进行大约100小时的直接观察。定性数据是从医疗重症监护病房和创伤/普通外科设置的医生团队收集的。数据通过开放编码、理论采样和纵向模式识别的交互过程进行转录和计算机分析。发现：确定了医生团队用于构建社会关系和执行工作的三种特定的基于经验的图式。这些模式包括使用经验作为商品、王牌和解放者。这些模式中的每一个都由强烈的规范、信念和价值观组成，这些规范、信念和价值观产生了团队动态，有可能破坏团队中的学习、参与和创业精神。结论：组织可以采取行动，通过促进官僚形式的控制，使医生能够在工作中学习、参与和创业，同时不篡夺现有的和难以改变的团队行为文化驱动因素，来减轻医生过度依赖经验的负面影响。
Methods:Approximately 100 hours of direct observation of normal workdays for physician teams (n= 17 physicians) in two different work settings in a single academic medical center located in the Northeastern part of the United States. Qualitative data were collected from physician teams in the medical intensive care unit and trauma/general surgery settings. Data were transcribed and computer analyzed through an interactive process of open coding, theoretical sampling, and pattern recognition that proceeded longitudinally.Findings:Three particular experience-based schemas were identified that physician teams used to structure social relations and perform work. These schemas involved using experience as a commodity, trump card, and liberator. Each of these schemas consisted of strongly held norms, beliefs, and values that produced team dynamics with the potential for undermining learning, participation, and entrepreneurship in the group.Conclusions:Organizations may move to mitigate the negative impact of an overreliance on experience among physicians by promoting bureaucratic forms of control that enable physicians to engage learning, participation, and entrepreneurship in their work while not usurping existing and difficult-to-change cultural drivers of team behavior.