识别接收发言信息的障碍和推动因素:内容分析方法
Melanie Barlow1,2, Kate J Morse3, Bernadette Watson4,5
1Faculty of Health Sciences, Australian Catholic University, 1100 Nudgee Road, Banyo, QLD, Australia. mel.barlow@acu.edu.au.
Advances in simulation (London, England)
|July 6, 2023
概括
了解医疗保健专业人员如何接收信息对于患者安全至关重要. 这项研究发现,传递信息的方式和接收者的思维方式都会对其接收产生重大影响,这凸显了需要均衡培训的必要性.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者安全 患者安全
- 临床实践中的临床实践
背景情况:
- 临床医生发言障碍得到了充分的研究,但以接收者为中心的研究很少.
- 了解消息接收是改善临床沟通和患者安全的关键.
- 目前的研究主要集中在说话者身上,忽视了接收者的作用.
研究的目的:
- 确定影响医疗保健接收者对发言信息的接收和反应的因素.
- 确定这些因素是否与扬声器或接收器特征有关.
主要方法:
- 22个跨学科的模拟,涉及临床医生团队接收发言信息.
- 信息传递的操纵 (动词与突然的措辞) 以及它对接收的影响.
- 模拟后解答报告的内容分析,以确定消息接收器的障碍和支持因素.
主要成果:
- 消息传递风格 (语调,措辞,方式) 显著影响了接收者所识别的障碍和支持者.
- 积极的接收者认知过程 (例如,积极的归属,建立关系) 增强了信息接收.
- 接收器的行为,如"倾听修复"和不良的反应管理阻碍了有效的沟通.
结论:
- 接收口语消息的障碍和支持者不同于发送者.
- 有效的沟通需要在培训中同样关注扬声器和接收器的行为.
- 培训应包括对积极和具有挑战性的沟通体验进行体验性排练.
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