医生在人际专业接触中的自信:一个范围审查
Maayan Gutgeld-Dror1,2, Nathaniel Laor2,3,4, Orit Karnieli-Miller1
1Department of Medical Education, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Medical education
|September 19, 2023
概括
医生需要更清晰的定义和沟通中自信的措施. 提出的关系定义强调尊重他人,同时表达需求,改善医生与患者的关系.
科学领域:
- 医学沟通 医学沟通
- 医疗保健 专业主义 医疗保健 专业主义
- 医生与患者之间的动态.
背景情况:
- 有效的医生与患者关系对于高质量的医疗保健至关重要.
- 医疗接触可能具有挑战性,需要医生以自信的方式沟通.
- 考虑到权力动态,医生的自信需要全面审查.
研究的目的:
- 对医生在沟通中的自信进行范围审查.
- 探索医生接触中的自信的概念.
- 识别有关医生自信的研究中的差距.
主要方法:
- 在四个数据库 (MEDLINE,Embase,PsycINFO,WoS) 搜索了关于医生自信的文章,直到2022年2月.
- 在审查协议中使用了Joanna Briggs研究所的方法和PRISMA检查清单.
- 选了1513篇文章,其中22篇被选中进行全面审查.
主要成果:
- 大多数研究都集中在与医务人员的自信沟通和自下而上的权力关系上.
- 在40%的审查文章中,缺乏对自信的明确定义.
- 确定性的定义和指标有很大的差异,阻碍了直接比较.
结论:
- 需要一个更清晰的定义和医生自信的深入探索.
- 提出了关于自信的关系定义:在尊重他人时沟通需求.
- 这一定义可以指导未来的研究,并改善医疗保健中的沟通方式.
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