在沟通技巧课程中,学生医疗保健提供者如何应对标准化的患者耐药性?
Trena M Paulus1, Heather Grubbs1, Renee Rice-Moran2
1East Tennessee State University, Research Division, Department of Family Medicine, Quillen College of Medicine, PO Box 70621, Johnson City, TN, 37614, USA.
Social science & medicine (1982)
|October 25, 2023
概括
学生医疗保健提供者使用各种策略,例如要求澄清和与患者关切保持一致,在临床接触期间导航抵抗. 对学生和标准化患者的培训可以改善对抗性反应,并提高医疗保健结果.
科学领域:
- 医学教育 医学教育
- 在医疗保健领域的沟通
- 话语分析 话语分析
背景情况:
- 患者耐药性对医疗保健学员来说是一个重大挑战.
- 在医疗环境中,谈判认识论权威至关重要,涉及了解健康问题和决策.
- 有效的沟通技巧对于医疗保健提供者管理患者互动至关重要.
研究的目的:
- 系统地检查学生医疗保健提供者如何应对标准化的患者耐药性.
- 识别学生在沟通技巧课程中使用的演讲策略.
- 为管理患者耐药性的教育干预提供信息.
主要方法:
- 分析了121个视频记录和转录的客观结构化临床检查.
- 话语分析的应用,以对话分析原则为基础.
- 学生的演讲策略的识别和分类.
主要成果:
- 学生采用了五种主要策略:要求澄清,表达不确定性/提供资源,与阻力保持一致,推新的行动,并面对阻力.
- 这些策略反映了试图在患者接触中谈判认识论权威的尝试.
- 多样化的反应表明需要进行结构化的培训,以处理患者的抗药性.
结论:
- 对应患者耐药性的指导对于学生提供者和标准化患者来说都是有价值的.
- 对抗药性反应的改善可能会导致更好的医疗保健结果.
- 沟通技巧培训应明确地解决患者抵抗力的动态.
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