把黑人病人当作"知者"来对待
Justin J Thomas1, Shaneeta Johnson1, Kisha B Holden1
1School of Medicine, Morehouse, 720 Westview Dr SW, NCPC, Room 324-B, Atlanta, GA, USA.
Journal of the National Medical Association
|November 15, 2023
概括
以患者为中心的护理需要重视患者的观点. 医学现象学框架赋予边缘化患者,包括黑人患者,作为提高医疗保健质量和公平性的关键"知者"权力.
科学领域:
- 医学伦理 医学伦理
- 卫生政策 卫生政策
- 卫生社会学 卫生社会学
背景情况:
- 医疗保健政策向高价值护理的转变需要以患者为中心的方法.
- 目前用于评估以患者为中心的基准不够.
- 未定义的标准可能会加剧不同患者群体的健康不平等.
研究的目的:
- 建立一个定义和评估跨文化患者中心性的框架.
- 探索医学现象学的实用性. 从医学的角度来看.
- 加强临床互动中脆弱和边缘化的患者的认识权威.
主要方法:
- 应用医学现象学的框架.
- 对以患者为中心的视角驱动分析.
- 检查患者价值观在医疗保健提供中的作用.
主要成果:
- 现象学观点重新定义医疗保健,优先考虑患者价值观.
- 赋予患者权力作为医疗服务提供者.
- 知道的人知道,知道的人知道.
- 提高了医疗保健的质量.
- 这种方法符合医学伦理,并改善了医生与患者之间的沟通.
结论:
- 医学现象学框架对于公平,以患者为中心的护理至关重要.
- 认可患者作为患者.
- 知道的人知道,知道的人知道.
- 对于解决系统性不平等问题至关重要.
- 这种观点改善了临床相互作用,并优先考虑了患者的价值观.
相关概念视频
Blinding
2.5K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.5K
Patient-centered Care
2.0K
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...
2.0K
Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
Ethical Standards II
681
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...
681
Stereotypes, Prejudice, and Discrimination
90.2K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.2K
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


