检查沙特医生沟通坏消息和弥合世代差距的方法
Ahmed Saad Al Zomia1, Hayfa A AlHefdhi2, Abdulrhman Mohammed Alqarni3
1Faculty of Medicine, King Khalid University, Abha 62529, Saudi Arabia.
Healthcare (Basel, Switzerland)
|September 28, 2023
概括
沙特的医生,尤其是实习生,尽管受过训练,却很难轻松地传递坏消息. 实习生和非实习生之间在患者沟通方面的舒适度和培训机会存在显著差异.
科学领域:
- 医学沟通 医学沟通
- 医生培训 医生培训 医生培训
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 打破坏消息是一个关键的医生技能.
- 了解沙特医生之间的沟通实践是必不可少的.
- 识别初级和高级医生之间的差异可以改善培训.
研究的目的:
- 调查沙特医生如何处理坏消息.
- 探讨实习生和非实习生之间的坏消息实践的差异.
主要方法:
- 使用了一个匿名的在线横截面调查.
- 沟通坏消息问卷评估了这些做法.
- 分析了782名医生的数据,使用R版本4.2.1.1.
主要成果:
- 14.8%的医生不舒服地讨论敏感问题,实习生 (20.6%) 比非实习生 (10.5%) 更多.
- 66.6%的人接受过培训,但实习生报告的培训比非实习生 (72.4%) 少 (59.6%).
- 大多数医生向患者 (59.1%) 或家属 (37.9%) 带来了坏消息,没有明显的内部/非内部差异.
结论:
- 显著比例的医生在讨论敏感患者问题时缺乏舒适感.
- 在实习医生和非实习医生之间,在舒适度和培训方面存在显著的差异.
- 需要有针对性的培训干预措施来提高医生的信心和打破坏消息的技能.
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