一个探索性的研究产科医生学员的经验培训打破坏消息的坏消息
1College of Medicine, Nursing and Health Sciences, University of Galway, Galway, Ireland.
The clinical teacher
|October 16, 2023
概括
产科实习生发现打破坏消息具有挑战性,有限的正式培训和应对策略. 加强沟通技巧培训和心理支持对于他们的福祉至关重要.
科学领域:
- 医学教育 医学教育
- 产科和妇科 产科和妇科
- 沟通技巧 沟通技巧 这些技巧
背景情况:
- 对医生来说,打破坏消息是一项艰巨的任务,它会对患者产生重大影响,并给医生带来压力.
- 产科培训生在他们的专业中传递坏消息时面临着独特的挑战.
- 了解这些经验对于改善医疗培训和患者护理至关重要.
研究的目的:
- 为了探索产科学员在坏消息时的实践经验.
- 确定影响学员对传递困难新闻的情感和专业反应的因素.
- 为培训人员制定更好的支持系统提供信息.
主要方法:
- 使用解释性现象学分析 (IPA) 的定性研究.
- 与七名产科培训生 (五名基本专业培训,两名高级专业培训) 进行了半结构化采访.
- 使用NVivo软件对采访成绩单进行主题分析.
主要成果:
- 四个主要主题出现了:"产科工作的现实"",医生的作用"",沟通技能的发展"",患者体验的重要性".
- 打破坏消息是情绪消耗大多数学员.
- 正式培训是有限的,大部分学习发生在"工作中";很少有学员报告了应对机制.
结论:
- 这项研究突出了影响产科医生学员与突破坏消息的经历的因素.
- 研究结果表明,需要加强沟通技能的培训,并为学员提供心理支持.
- 解决这些需求可以改善培训员的福祉和产科的患者护理.
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