患者与住院医生的沟通和咨询方面的差异:一个多视角探索性定性研究
Asma Altaf Hussain Merchant1, Namra Qadeer Shaikh1, Noreen Afzal1
1Dean's Office, Aga Khan University, Karachi, Pakistan.
PloS one
|October 23, 2023
概括
与患者的性别,种族,社会阶级和具有挑战性的互动有关的医生偏见妨碍了有效的沟通. 在研究生医学教育中实施沟通技能课程对于改善患者护理至关重要.
科学领域:
- 医学教育 医学教育
- 定性研究是指质量研究.
- 卫生沟通健康沟通
背景情况:
- 有效的医生与患者沟通对于优质的临床护理至关重要.
- 沟通的差异,特别是与不同患者群体的沟通差异,有助于医疗错误.
- 了解医生偏见是解决这些沟通差距的关键.
研究的目的:
- 探索患者与住院人员沟通中的潜在偏见和差异.
- 在多样化的患者群体中识别阻碍有效沟通的因素.
- 为医生培养沟通技能的发展提供信息.
主要方法:
- 在巴基斯坦的一个大型学术医疗中心进行的探索性定性研究.
- 有目的的抽样包括各个专业的教师,研究员,住院生和高级医学学生.
- 60名参与者聚焦小组讨论 (FGD),使用专题分析进行分析.
主要成果:
- 从主题分析中出现了五个主要主题.
- 四个主题确定了障碍:患者与住院居民的性别差异,种族/语言障碍,社会经济差异以及具有挑战性的患者互动.
- 第五个主题强调了在研究生医学教育中需要沟通技能的课程.
结论:
- 患者与医生的沟通受到不同性别,社会经济和文化背景的挑战.
- 医生自我意识和偏见的识别对于改善沟通至关重要.
- 将沟通技巧纳入研究生课程可以提高对所有患者的护理.
相关概念视频
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
Ethical Issues
983
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
983
Barriers to Effective Communication I
8.9K
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
8.9K
Ethical Standards II
684
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
684
Nurses' Legal Responsibilities II
722
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
722
Nursing Ethical Principles II
993
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
993


