慢性疾病中不完整故事的原型医疗遭遇
Wilma J Koopman1, K A LaDonna2, E A Kinsella3
1Health and Rehabilitation Sciences, Western University, London, Ontario, Canada; London Health Sciences Centre, London, Ontario N6A 3K7, Canada; Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario N6A 3K7, Canada; Centre for Education Research & Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario N6A 3K7, Canada.
由于时间压力,患者与从业人员的对话往往导致不完整的健康故事. 了解这些不完整的叙述,就像隐藏或定制的故事一样,可以提高医疗保健的质量和安全.
科学领域:
- 医学沟通 医学沟通
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 患者与医生的互动对于医疗保健的提供至关重要.
- 医疗接触的时间限制可能导致信息交换不完整.
- 不完整的患者病史可能会影响护理的质量和安全性.
研究的目的:
- 探索健康互动中不完整的患者故事的出现.
- 了解患者和从业人员之间不完全的信息共享的根本原因.
主要方法:
- 使用了构造主义的基于理论的方法.
- 一项两阶段的研究涉及采访患者 (n=21),然后采访从业者 (n=12).
主要成果:
- 他们发现了不完整的故事叙述的三个原型:隐藏的故事,解释的故事和量身定制的故事.
- 影响这些叙述的因素包括衡量信息共享,三元相遇和预先计划的议程.
结论:
- 患者和从业人员都优先考虑他们认为重要,有用和适当的信息.
- 在不完整故事的起源上教育从业人员可以增强患者和从业人员的互动和讲故事.
- 优化接触可以导致更深入的沟通,以改善医疗保健结果.
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