医生如何在与病人交谈时对医疗信息进行框架? 一个诱导微分析
Julia Menichetti1, Pål Gulbrandsen1,2, Anne Marie Landmark3,4
1Healthcare Services Research Unit (HØKH), Akershus University Hospital, Lorenskøg, Norway.
Qualitative health research
|October 23, 2023
概括
医生使用微妙的沟通技术,或信息框架设备,以塑造患者如何理解医疗信息. 这项研究确定了66种这样的设备,揭示了医生与患者信息共享的细微性质.
科学领域:
- 医学沟通 医学沟通
- 语言学的语言学.
- 医学社会学 医学社会学
背景情况:
- 在医疗咨询中,有效的信息共享对于患者的理解和结果至关重要.
- 医生沟通策略显著影响患者对医疗信息的感知和解释.
- 关于医生在患者互动期间使用具体方法来框架信息的研究有限.
研究的目的:
- 识别医生在患者咨询期间使用的自发信息框架和框架设备.
- 分析医生用来传达信息的更高层次结构 (框架) 和对话机制 (设备).
- 探索信息框架在临床环境中的实际应用.
主要方法:
- 视频录制的医疗相互作用的诱导微分析.
- 信息框架和框架设备的定性识别和分类.
- 分析医生使用的自发和直观的沟通策略.
主要成果:
- 确定了医生使用的九个不同的信息框架.
- 在这些框架中发现了66个独特的信息框架设备.
- 展示了框架在传达知识共享,预后,复杂性,重要性和医生与患者关系的信息方面的普遍使用.
结论:
- 医生信息共享实践本质上是主观和非中立的.
- 鉴定到的框架装置突出显示了医疗沟通的复杂性和艺术性.
- 这项研究为进一步研究医生信息共享实践 (praxis) 提供了基础.
相关概念视频
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
8.2K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
8.2K
Framing Effects
7.4K
Information is everywhere and its presentation—such as how and when items are presented—can impact our perceptions and decisions surrounding the info. This broad concept umbrellas framing effects—influences that occur due to the way information is framed in its appearance, whether it’s purely the order or the specific wording of a message. Let’s take a look at numerous ways in which two versions of something can objectively say the same thing, yet we respond in...
7.4K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.9K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.9K
Formats for Nursing Documentation
1.0K
Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
1.0K


