"Junior Doctor Decision Making: Isn't that an Oxymoron?" A Qualitative Analysis of Junior Doctors' Ward-Based Decision-Making

Autor/inn/en	Bull, Stephanie; Mattick, Karen; Postlethwaite, Keith
Titel	"Junior Doctor Decision Making: Isn't that an Oxymoron?" A Qualitative Analysis of Junior Doctors' Ward-Based Decision-Making
Quelle	In: Journal of Vocational Education and Training, 65 (2013) 3, S.402-421 (20 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1363-6820
DOI	10.1080/13636820.2013.834955
Schlagwörter	Foreign Countries; Decision Making; Interviews; Health Services; Medical Students; Educational Theories; Social Theories; Workplace Learning; Ethics; Observation; Patients; Clinical Diagnosis; Context Effect; Hospitals; Vocational Education; Qualitative Research; United Kingdom (England) + Suchen Sie Ihr Suchwort? Ausland; Decision-making; Entscheidungsfindung; Interviewing; Interviewtechnik; Health service; Gesundheitsdienst; Gesundheitswesen; Educational theory; Theory of education; Bildungstheorie; Gesellschaftstheorie; Ethik; Beobachtung; Patient; Krankengymnast; Krankenhaus; Ausbildung; Berufsbildung; Qualitative Forschung
Abstract	Unacceptable levels of adverse healthcare events, combined with changes to training, have put the spotlight on junior doctor decision-making. This study aimed to describe the decisions made by junior doctors and the contextual factors influencing how decisions were made and justified. Stimulated recall interviews with 20 junior doctors across five hospitals in SW England were undertaken to co-construct accounts of observers (researchers) and performers (junior doctors), enabling deep insights into individual capability and support needs. Decisions identified included prioritisation of patients and of tasks, and whether and when to intervene clinically. There were a surprising number of "inherited decisions", made by somebody else but enacted by the junior doctor. Through their decisions, participants sought various outcomes, including impressing senior staff. Two contrasting theoretical lenses that focused on the individual decision-maker and the healthcare system enabled creative ideas about supporting education and training to emerge as recommendations. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10