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How postgraduate trainees from different health professions experience the learning climate within an operating theater: a mixed-methods study

机译：来自不同卫生专业的研究生受训者如何在手术室中体验学习氛围：混合方法研究

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The learning climate within a learning environment is a key factor to determine the potential quality of learning. There are different groups of postgraduate trainees who study primarily in the operating theater (OT), which is a complex, high-stake environment. This study created and validated an interprofessional measure of the OT educational climate and explored how postgraduate trainees from different health professions experienced the learning climate within the operating theater. An explanatory, sequential mixed-method design was used. The quantitative phase used and validated a newly developed questionnaire, the Operating Theater Educational Climate Test (OTECT), to evaluate the perceptions of anesthesia residents, surgical residents and student registered nurse anesthetists. In the qualitative phase, three mono-professional focus groups participants’ opinions on the factors influencing their learning climate were explored. The OTECT questionnaire was found to be valid. The questionnaire response rate was 78.9% (142 respondents from 180). Questionnaire results indicated similar perceptions of the OT learning climate by learners from all disciplines. Focus groups revealed three major influencing factors on the experienced learning climate: 1) nature of work in the OT, 2) the role of the supervisor, and 3) the interprofessional dimension of work in the OT. The OT learning climate was perceived similarly by trainees from three health profession. The high stakes nature of the OT inhibited learning most as it impacted both trainees and supervisors. The results can be applied to improve the overall learning environment in the OT for all groups of learners.
机译：学习环境中的学习氛围是确定潜在学习质量的关键因素。有不同组的研究生受训人员，他们主要在手术室（OT）学习，这是一个复杂的，高学历的环境。这项研究创建并验证了跨职业对OT教育氛围的测量，并探讨了来自不同卫生专业的研究生如何在手术室中体验学习氛围。使用了一种解释性的，顺序的混合方法设计。定量阶段使用并验证了新开发的调查表“手术室教育气候测试（OTECT）”，以评估麻醉医师，外科手术医师和学生注册的麻醉师的感受。在定性阶段，探讨了三个单专业焦点小组参与者关于影响其学习氛围的因素的观点。 OTECT调查表被认为是有效的。问卷答复率为78.9％（180位受访者中有142位）。问卷调查结果表明，所有学科的学习者对旧约学习环境的看法相似。焦点小组揭示了对经历的学习氛围的三个主要影响因素：1）OT中工作的性质，2）监督者的角色，以及3）OT中工作的跨专业性。来自三个卫生专业的学员对OT的学习氛围也有类似的看法。 OT的高风险性质最大程度地抑制了学习，因为它影响了学员和主管。结果可用于改善所有学习者群体在旧约中的整体学习环境。

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