词语的影响:多源反为学生提供了更深入的理解和对护理目标的反思讨论
Daniel Kadden1, Madeline Weber1, Lori Herbst1,2,3
1University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
The American journal of hospice & palliative care
|May 30, 2023
概括
来自模拟患者 (SP) 场景的多源反增强了医生在治疗目标 (GOC) 讨论方面的培训. 这种方法为领导艰难的生命终结对话提供了独特的见解.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 抚慰性护理是一种缓解性护理.
背景情况:
- 医生沟通显著影响患者和家庭在终身目标的护理讨论期间的经验.
- 基于模拟的培训为练习这些敏感对话提供了一个安全的环境.
- 结合模拟患者,临床医生和自我反思的反,可以增强学习.
研究的目的:
- 评估来自模拟患者场景的多源反是否改善了培训人员在护理讨论目标中的反质量.
- 评估模拟患者互动对医学学生沟通技能的影响.
主要方法:
- 医学四年级学生参加了两个模拟的病人目标的护理讨论在高级护理规划课程.
- 学生们从模拟患者和教师那里得到了反,随后进行了视频审查和自我反思.
- 在模拟患者会议的叙事反数据上进行了诱导性主题分析.
主要成果:
- 六个关键主题出现了:有效的措辞,承认情绪,对话组织,身体语言的影响,避免术语和沉默的作用.
- 模拟的患者反突出了词汇选择和非语言沟通的情感影响.
- 教师反侧重于特定的学习点和假设情景,而自我反思揭示了未被注意到的挑战.
结论:
- 从模拟的护理目标讨论中获得的多源反为医疗学员提供了有价值的,独特的见解.
- 这种培训方法有助于培养领导具有挑战性的生命终结对话所需的技能.
- 基于模拟的教育是有效的改善医生沟通在重症监护设置.
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