在临床实践中应对不确定性:一个结构化的方法
Badar Patel1,2, Galina Gheihman2,3,4, Joel T Katz2,5
1Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Journal of general internal medicine
|January 29, 2024
概括
管理临床不确定性对于患者护理至关重要. 本文介绍了RAPS框架 (识别,承认,合作伙伴,寻求支持),以帮助临床医生应对不确定性并加强患者和治疗师的联盟.
科学领域:
- 临床医学 临床医学
- 医疗保健通讯 医疗保健通讯
- 患者与医生的关系
背景情况:
- 临床医学本质上涉及不确定性,影响患者护理和治疗联盟.
- 目前对管理临床不确定性的指导仍然有限.
- 关于不确定性的有效沟通对于最佳的患者结果至关重要.
研究的目的:
- 提出一种结构化的方法来管理临床环境中的不确定性.
- 为临床医生提供实用策略,以解决临床医生与患者关系中的不确定性.
- 通过将不确定性重新定义为增长的机会来加强治疗联盟.
主要方法:
- 制定一个四步框架:识别,承认,合作伙伴和寻求支持 (RAPS).
- 根据现有的关于不确定性和临床经验的文献提供指导.
- 包括示例语言和实际实施的行动.
主要成果:
- 该RAPS框架为临床医生提供了一种系统的方法来解决不确定性.
- 这种方法旨在促进更深层次的治疗联盟.
- 授权临床医生将不确定性视为专业发展的催化剂.
结论:
- 该RAPS框架为临床医生提供了一种实际的工具,以有效地管理不确定性.
- 解决不确定性可以加强临床医生和患者之间的关系,改善护理.
- 这种方法支持患者的福祉和临床医生的成长.
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