在癌症背景下,同情沟通和隐含偏见在医学学生样本中
Tara K Torres1, Heidi A Hamann1,2, Megan J Shen3
1Department of Psychology, University of Arizona.
Health communication
|October 31, 2023
概括
医学学生对西班牙裔癌症患者的同情心较低,当他们持有隐性偏见时. 解决隐性偏见对于改善瘤学中的同情沟通至关重要.
科学领域:
- 医学教育 医学教育
- 在瘤学瘤学.
- 健康心理学 心理健康心理学
背景情况:
- 共感性沟通在瘤学中至关重要,但往往缺乏.
- 隐性偏见可能会影响临床医生的同情反应.
- 了解这种联系是患者护理的关键.
研究的目的:
- 调查隐性偏见 (癌症类型,种族) 和医学学生的同理心沟通之间的关系.
- 评估模拟患者与被诊断患有癌症的西班牙裔个人的遭遇中的同情反应.
主要方法:
- 101名医学学生完成了隐含关联测试 (IAT) 进行偏差测量.
- 在模拟咨询 (客观结构化临床检查;欧安组织) 期间,使用共感通信编码系统 (ECCS) 评估了共感通信.
- 标准化患者是患有肺癌或结直肠癌的西班牙裔个人,讨论戒烟.
主要成果:
- 在241个已识别的同情机会中,65.6%获得了高度的同情反应.
- 对于"挑战"和"情感"而不是"进步"机会,高同情反应更为常见.
- 对西班牙裔个体的隐性偏见增加与同情反应的几率较低相关 (OR=3.24,p=.04).
结论:
- 对西班牙裔患者的隐性偏见与医学学生的同情沟通减少有关.
- 需要进一步的研究来理解这种关系,并制定有针对性的干预措施.
- 改善瘤学中的同情沟通需要解决隐含的偏见.
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