早期初级保健实践中的信任 (和不信任) 维度的指标:一种定性研究
Allen F Shaughnessy1, Andrea Vicini Sj2, Mary Zgurzynski3
1Department of Family Medicine, Tufts University School of Medicine, Boston, MA, USA.
BMC primary care
|July 19, 2023
概括
发展医疗保健临床医生
科学领域:
- 医疗保健教育卫生保健教育
- 关系科学 关系科学
- 医学伦理 医学伦理
背景情况:
- 信任是医疗保健的基础,涉及感知到的诚意,仁慈,诚实和能力.
- 本研究探讨了发展医疗保健临床医生的反射性实践中的信任动态.
- 了解信任对于提高医学教育和临床实践至关重要.
研究的目的:
- 检查居民反思性写作中表达的各种类型的信任.
- 了解信任在居民自我检查过程中的作用.
- 通过应用关系科学的见解,为医疗保健教学和临床工作提供信息.
主要方法:
- 分析了来自33位居民的767封匿名反思性文章.
- 由两位作者独立编码,以确定信任和关系指标.
- 由三个作者开发和验证最终的编码结构.
主要成果:
- 114个反思表明存在信任.
- 确定了五个关键的信任类别:自我信任,对医学界的信任,对患者的信任,患者对临床医生的信任以及患者信任对行为的影响.
- 信任被认为既以关系为中心,又以机构为中心,建立在互惠的基础上.
结论:
- 对信任动态的认识可以提高临床医生的表现和满意度.
- 对信任的更好理解可以带来更好的患者与临床医生的互动.
- 将信任融入医疗保健教育中对于专业发展和患者护理至关重要.
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