在正念沟通的教育计划与燃烧,同情心和初级保健医生之间的态度的协会
Michael S Krasner1, Ronald M Epstein, Howard Beckman
1Department of Internal Medicine, University of Rochester Medical Center, Rochester, New York, USA. michael_krasner@urmc.rochester.edu
JAMA
|September 24, 2009
概括
初级保健医生在密集的正念和沟通计划后经历了改善的幸福感和减少的倦怠. 这项研究表明,正念沟通培训有利于医生心理健康和患者护理态度.
科学领域:
- 医学教育 医学教育
- 医生福利 医生福利
- 基于正念的干预措施
背景情况:
- 初级保健医生的高危险水平导致倦怠,并影响患者护理质量.
- 有效的减轻医生倦怠的计划很少,支持数据有限.
研究的目的:
- 评估密集教育计划对初级保健医生的福祉,焦虑,倦怠和患者交互技能的影响.
- 调查正念,沟通和自我意识的改善.
主要方法:
- 一项涉及70名初级保健医生参加持续医学教育 (CME) 课程的前后研究.
- 该计划包括正念冥想,自我意识练习和在密集和维护阶段的沟通技巧.
- 测量包括在多个时间点评估的正念,倦怠,同情,情绪和人格特征.
主要成果:
- 在医生正念,减少倦怠 (情绪疲劳,非个性化),增强同情心和改善情绪方面观察到显著的改善.
- 在正念改善和情绪障碍和倦怠的减少之间发现了积极的相关性,以及同理心和个性因素的增加.
- 医生关于患者护理的自我报告的信念也显示出了转变.
结论:
- 认真沟通计划对医生的福祉和对以患者为中心的护理的态度产生了短期和持续的积极影响.
- 虽然有希望,但前后设计需要通过随机对照试验进一步验证.
- 未来的研究应该涉及各种各样的实践医生的团体来证实这些发现.
更多相关视频
10:45A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings
Published on: January 22, 2018
8.0K
12:22Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
Published on: July 1, 2015
24.4K
相关概念视频
Septins
2.2K
Septins are protein filaments forming the cytoskeleton along with the microtubules, microfilaments, intermediate filaments, and other accessory proteins. In 1971 while studying the cell division cycle in mutant Saccharomyces cerevisiae Harwell et al. first identified the septin-related genes playing a crucial role in yeast cytokinesis. Fluorescence microscopy revealed that these proteins localize at the budding neck as rings. These ring-like proteins were then named Septins by John Pringle, and...
2.2K
Inflammation
61.8K
Overview
61.8K
Role of Septins
2.1K
Septins are the recently discovered fourth major protein component of the cytoskeleton, along with microfilaments, microtubules, and intermediate filaments. These proteins can associate with other cytoskeletal filaments and carry out varied roles or can be free-floating in the cytoplasm.
Cellular Functions of Septins
Recent studies have revealed the multifaceted roles of septins in various cellular processes such as cytokinesis, ciliogenesis, and neurogenesis. Septins act as scaffolds and...
Cellular Functions of Septins
Recent studies have revealed the multifaceted roles of septins in various cellular processes such as cytokinesis, ciliogenesis, and neurogenesis. Septins act as scaffolds and...
2.1K
Restriction Enzymes
35.6K
Restriction enzymes are bacterial enzymes used to cut DNA in a sequence-specific manner. To cleave DNA, they bind to specific palindromic sequences called restriction sites. Such palindromic DNA sequences or inverted repeats are commonly found in regions of functional significance, such as the origin of replication, gene operator sites, and regions containing transcription termination signals.
The host bacteria protect their own genomic DNA from these enzymes by methylating these sites. Some...
The host bacteria protect their own genomic DNA from these enzymes by methylating these sites. Some...
35.6K
Zones of Protection
764
In power systems, the entire setup is divided into protective zones to isolate faults and protect the rest of the network. These zones include generators, transformers, buses, transmission lines, distribution lines, and motors. Each zone can be visualized as a separate room in a house, with each room protected by its own circuit breaker.
Protective zones are defined by closed dashed lines, containing one or more components. A key characteristic of these zones is the strategic placement of...
Protective zones are defined by closed dashed lines, containing one or more components. A key characteristic of these zones is the strategic placement of...
764
Protection of Alcohols
8.0K
This lesson delves into the concept of protection and deprotection of a functional group fundamental to synthetic organic chemistry. These phenomena are explained in the context of aliphatic and aromatic alcohols.
Protection
It defines a protecting group as the masking agent to make the more reactive species inert to a given set of conditions. This concept is depicted via the illustration of liquid flow through different outlets in an assembly of pipes. The analogy helps to understand the role...
Protection
It defines a protecting group as the masking agent to make the more reactive species inert to a given set of conditions. This concept is depicted via the illustration of liquid flow through different outlets in an assembly of pipes. The analogy helps to understand the role...
8.0K
