在严重疾病对话评估练习 (SIC-Ex) 中探索结构化的叙事反的价值:定性分析
Jenny Ko1, Amanda Roze des Ordons2, Mark Ballard3
1Department of Medical Oncology, BC Cancer Agency Abbostford Centre, Abbotsford, British Columbia, Canada Jenny.Ko@bccancer.bc.ca.
来自严重疾病对话评估练习 (SIC-Ex) 的叙事评论提供了对住院医生的严重疾病对话 (SIC) 的详细见解. 这种新的工具增强了数字评级之外的评估,改善了沟通技能的评估.
科学领域:
- 医学教育 医学教育
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 严重疾病对话指南 (SICG) 为患者与医生的沟通提供了一个框架.
- 在瘤门诊机构中,评估住院医生在进行严重疾病对话 (SIC) 的技能至关重要.
研究的目的:
- 评估一种新型评估工具的有用性,即严重疾病对话评估练习 (SIC-Ex),用于评估居民领导的SIC.
- 分析SIC-Ex的叙事评论,以了解严重疾病沟通中的居民表现.
主要方法:
- 通过使用模板分析进行了定性研究.
- 住院医生对癌症患者进行了录像的SIC.
- 预防者使用SIC-Ex和卡尔加里-剑桥指南 (CCG) 评估对话.
- 独立编程人员分析了与SICG和CCG相关的主题的叙事评论.
主要成果:
- 模板分析确定了四个关键主题:遵守SICG,患者/家庭参与,对话管理和行为.
- 叙事评论突出了SIC至关重要的特定的口头和非口头沟通元素.
- 一些评论与CCG和SICG一致,而另一些则是SICG的特点,例如事先的护理计划.
结论:
- SIC-Ex产生了丰富的,细微的定性数据,关于居民的SIC能力.
- 来自SIC-Ex的叙述反提供了比单纯的数字评级更深入的见解.
- 这种工具可以为更全面地评估严重疾病的沟通技巧做出贡献.
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