用隐喻作为解释工具在不利的童年经历模拟训练培训的使用
Monica Ha1, Allyson Rowe1, Katlynn Hendrix1
1University of Oklahoma School of Community Medicine, Tulsa, OK, USA.
The Permanente journal
|October 25, 2023
概括
在医疗保健中使用隐喻可以改善关于不良童年经历 (ACE) 的沟通. 有效的隐喻往往更短,以患者为中心的方法可以增强创伤幸存者的理解.
科学领域:
- 医学教育 医学教育
- 在医疗保健领域的沟通
- 心理学 心理学 心理学
背景情况:
- 童年不良经历 (ACE) 显著影响成年人的健康.
- 医疗保健从业者需要有效的,对创伤敏感的沟通策略.
- 隐喻可以作为讨论诸如ACE等敏感话题的宝贵工具.
研究的目的:
- 通过培训人员讨论ACE和健康来描述有效的隐喻使用.
- 为临床医生提供敏感的ACE讨论的比喻例子.
主要方法:
- 实习生参与了以ACE为重点的模拟患者接触.
- 视频录制的遭遇被分析为隐喻的使用.
- 隐喻被编码为类型,持续时间,复发和有效性.
主要成果:
- 确定了24种类型的隐喻; "超载的背包"是最常见的.
- 有效的比喻比无效的比较短 (平均31.8秒).
- 大多数隐喻被评为充足或有效,没有任何一种类型优越.
结论:
- 隐喻是提高临床医生的沟通和患者对ACE的理解的有效工具.
- 简短,以患者为中心的隐喻使用可以改善与创伤幸存者的对话.
- 进一步的研究可以探索在临床环境中最优的隐喻应用.
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