A Survey of Clinical Uncertainty from the Paediatric Basic Specialist Trainee Perspective.
Ir Med J
; 110(6): 581, 2017 Jun 09.
Article
em En
| MEDLINE
| ID: mdl-28952671
ABSTRACT
This study was undertaken to evaluate uncertainty from the Basic Specialist Trainee perspective. The survey of trainees explored 1) factors in decision making, 2) the personal impact of uncertainty, 3) the responses to both clinical errors and challenges to their decision making and 4) the potential strategies to address uncertainty. Forty-one (93%) of trainees surveyed responded. Important factors in decision making were clinical knowledge and senior colleague's opinion. Sixty percent experienced significant anxiety post call as a consequence of their uncertainty. When errors are made by colleagues, the trainee's response is acceptance (52.5%), and sympathy (32%).Trainees are strongly influenced by the opinions of senior colleagues often changing their opinions having made confident decisions. Solutions to address uncertainty include enhanced knowledge translation, and to a lesser extent, enhanced personal awareness and resilience awareness. To enhance the training experience for BST and lessen the uncertainty experienced these strategies need to be enacted within the training milieu.
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Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Ansiedade
/
Pediatria
/
Erros Médicos
/
Incerteza
/
Tomada de Decisão Clínica
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Child
/
Humans
Idioma:
En
Revista:
Ir Med J
Ano de publicação:
2017
Tipo de documento:
Article