安全网的初级保健医生是否准备好参与严重疾病的对话?
Deborah Swiderski1, Rodrigo Ng Taniguchi1, Elizabeth Chuang2
1Department of Medicine, Montefiore Medical Center, Bronx, NY, USA.
The American journal of hospice & palliative care
|August 3, 2023
概括
医生需要在严重疾病对话方面获得更多的培训,特别是在不同人群中. 这弥补了少数群体患者预先护理规划和终身护理方面的差距.
科学领域:
- 医学教育 医学教育
- 抚慰性护理是一种缓解性护理.
- 健康差异 在健康上的差异
背景情况:
- 预先护理规划 (ACP) 并没有持续改善终身护理.
- 严重疾病对话 (SIC) 可能对晚期慢性疾病患者更有效.
- 该SIC指南不是为安全网设置中的不同人群开发的.
研究的目的:
- 评估医生在严重疾病沟通方面的培训需求.
- 评估SIC指南在安全网设置中的实用性.
- 确定有效的终身护理沟通的障碍.
主要方法:
- 医生被招募参加需求评估调查.
- 培训的重点是严重疾病对话 (SIC) 指南.
- 调查评估了自我评价的沟通任务技能.
主要成果:
- 大多数参与者都是女性 (82%) 和白人 (62%).
- 只有不到一半的受访者觉得自己在核心沟通任务 (如目标设定和预后讨论) 中具备技能.
- 据报道,对于远程医疗和种族不一致的患者与医生的沟通,自我评价能力较低.
结论:
- 医生需要加强生命末期沟通的培训,特别是在种族和语言不一致方面.
- 提高沟通技巧可能会提高预先护理计划的有效性.
- 解决这些培训需求可以改善贫困人口的终身护理.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11.9K
相关概念视频
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K
Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
Barriers to Effective Communication II
3.7K
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...
3.7K
SBAR II: Application of SBAR
4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.5K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
