医学学生在对肥胖患者进行体检时的感知舒适度和能力:混合方法需要评估
Christine B Tenedero1,2, Kathleen T O'Brien3, Barkha P Patel1,2
1Division of Endocrinology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Clinical obesity
|August 10, 2023
概括
医学学生报告说,在对肥胖患者进行体检时,他们的舒适度和能力很低. 加强培训对于解决技能差距和防止这一群体的医疗保健差异至关重要.
科学领域:
- 医学教育 医学教育
- 临床技能培训 临床技能培训
- 肥胖医学 肥胖医学
背景情况:
- 医生对肥胖护理培训的不满普遍存在.
- 身体检查对于患者护理至关重要,需要适应肥胖患者的情况.
研究的目的:
- 评估医学学生在对肥胖患者进行体检时的感知舒适度和能力.
- 为了确定学习需求和障碍在肥胖特异性的体检技能.
主要方法:
- 混合方法研究涉及175名加拿大医学学生.
- 采用问卷和半结构化的焦点小组来收集数据.
主要成果:
- 少数学生感到舒服 (42%) 或有能力 (14%) 检查肥胖患者.
- 关键的挑战包括修改考试技术,解释结果和敏感的沟通.
- 发现的障碍:缺乏早期接触,教师指导极少,课程关注度不足.
结论:
- 医学学生认为,在针对肥胖的体检方面,缺乏足够的培训.
- 信任缺陷会对患者管理产生负面影响,并导致护理差异.
- 正式的课程开发和教学对于提高这些关键能力至关重要.
相关概念视频
Data Collection III
2.8K
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
2.8K
Assessment of the Abdomen III: Palpation
753
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
753
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.0K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.0K
Assessment of the Gastrointestinal System II: Health Perception Pattern
141
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
141
Assessment of the Abdomen I: Inspection and Auscultation
472
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
472
Assessment of the Rectum and Anus
278
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
278


