患者中心のコミュニケーションフィードバック技術を支援する介入戦略
Raina Langevin1, Deepthi Mohanraj2, Libby Shah1
1Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, WA 98195, United States.
Journal of the American Medical Informatics Association : JAMIA
|August 23, 2025
まとめ
臨床医は 患者のコミュニケーションにおける 暗黙のバイアスの意識を高めるために テクノロジーを望んでいます 定期的なフィードバックや同僚の説明会のような教育戦略は,偏見を管理し,健康の公平性を促進することをお勧めします.
科学分野:
- 医療に関するコミュニケーション
- 医療教育技術
- 健康に関する公平性
背景:
- 臨床医の暗黙の偏見は 患者中心のコミュニケーションに悪影響を及ぼし 健康上の不平等に寄与します
- 暗黙のバイアス教育の技術的進歩が進んでいますが 臨床医の見解はよく理解されていません
- 臨床医の見解を理解することは 有効な暗黙的バイアス介入の開発に不可欠です
研究 の 目的:
- コミュニケーションフィードバック技術を補完する教育戦略の臨床医の認識を探求する.
- 医療従事者向けに 暗黙の偏見教育への介入に テクノロジーをどのように統合できるかを調査する.
- 暗黙のバイアスの認識と管理を改善するために臨床医が推奨するアプローチを特定する.
主な方法:
- 医療従事者は遠隔での面接に参加し 将来の技術について考えました
- 参加者はオンライン調査を通じて 教育戦略の優先順位を評価した.
- テーマ分析は,暗黙のバイアス認識と管理 (IBRM) ドメインをコードとして使用し,記述的統計は調査データを要約した.
主要な成果:
- 診察記録のような コミュニケーションパターンの 自己認識を高める技術を 臨床医が提案しました
- フィードバックの疲労や 患者とのやり取り時間を短縮する技術の可能性について懸念がありました
- 推奨された戦略には定期的なトレーニングフィードバック,組織的なインセンティブ,同僚や専門家とのディブリーフィングが含まれています.
結論:
- ブレインストーミング技術と教育戦略は,フィードバックに対する臨床医の受容性を高め,暗黙のバイアス認識と管理 (IBRM) のアプローチを参考にすることができます.
- 医療従事者の参加を奨励する課題がある.継続的な医療教育は実行可能なアプローチかもしれない.
- この発見は,臨床医の暗黙のバイアスを管理することによって,健康の公平性を促進するために,臨床環境インテリジェンスを使用する介入の開発を導くことができます.
関連する概念動画
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
9.0K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
9.0K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
5.4K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
5.4K
Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
Therapeutic Communication
5.4K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
5.4K
Communication
7.4K
Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
7.4K
Role of Communication in the Nursing Process II: Planning and Implementation
1.9K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.9K


