関連する実験動画
Updated: Aug 10, 2026

14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
医療面接における共感的なコミュニケーションのモデル
A L Suchman1, K Markakis, H B Beckman
1Primary Care Institute, Highland Hospital, Rochester, NY 14620, USA.
JAMA
|February 26, 1997
まとめ
医者はしばしば患者の感情的なシグナルを見逃し,共感的なコミュニケーションを妨げます. 患者の感情を認識し,認めることは,患者と医師の関係を改善し,臨床的スキルを向上させるために不可欠です.
科学分野:
- 医療コミュニケーションについて
- 定性研究とは,定性的な研究です.
- 患者と医師の関係
背景:
- 医療面接では,共感的なコミュニケーションが不可欠です.
- 医師と患者の相互作用パターンを理解することは,効果的な治療の鍵です.
研究 の 目的:
- 医療環境における共感的なコミュニケーションのモデルを開発する.
- 患者と医師のやり取りの間に感情を語ることに関連した行動を特定する.
主な方法:
- 定性的な研究では,初等医療訪問の11の成文と12のビデオテープを分析した.
- 患者の感情的な表現に対する医師の反応は,体系的に検討され,コンセンサスによって分類されました.
主要な成果:
- 患者は感情を直接表現することはめったになく,しばしば微妙な手がかりを提供する.
- 医師はしばしば患者の感情を認識できず,症状に焦点を当てた議論にリダイレクトしました.
- 患者は,最初は無視されたときに,時には感情的な表現をエスカレートしました.
結論:
- 経験的に派生したモデルは,患者の感情を認識し認めることの重要性を強調しています.
- 重要な共感的なスキルは,表現されていない感情を特定し,それらを検証することです.
- 医師による承認の欠如は,患者と医師の関係に悪影響を及ぼす可能性があります.
関連する概念動画
Empathy
Some researchers suggest that altruism operates on empathy. Empathy is the capacity to understand another person’s perspective, to feel what he or she feels. An empathetic person makes an emotional connection with others and feels compelled to help (Batson, 1991). Empathy can be expressed in several ways, including cognitive, affective, and motor.
Communication
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.
Within...
Within...
Therapeutic Communication
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...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
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...
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
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...
Barriers to Effective Communication II
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...

