临床医生沟通策略,以与患者的意见分歧进行导航
Faiza Sarwar1, David Ring1, Erin Donovan1
1Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, 1701 Trinity St., Austin, TX 78712, USA.
临床医生可以通过从教育策略转向建立关系的策略来改善患者的护理,从而在处理医疗决策方面的分歧时改善患者的护理. 优先考虑患者的价值观和验证情绪,促进信任和合作.
科学领域:
- 医学沟通 医学沟通
- 患者与医生的关系
- 临床决策 - 临床决策
背景情况:
- 在医疗决策中解决意见分歧对于有效的患者护理至关重要.
- 当患者的偏好与医疗建议不同时,临床医生经常面临维持合作关系的挑战.
研究的目的:
- 调查临床医生在遇到患者对医疗决定的分歧时采用的沟通策略.
- 确定有效的方法,在临床接触期间保持相互尊重和信任.
主要方法:
- 与20名医生进行了半结构面试,涉及各种专业的医生.
- 使用反射主题分析来分析采访数据,直到实现主题和.
主要成果:
- 医生报告说,通过衡量患者的价值观来适应,承认患者是自己专家.
- 优先考虑教育方法往往会加强分歧;验证患者的情绪和加强关系证明更有效.
- 当临床医生在患者的偏好上妥协时,他们经历了道德上的痛苦.
结论:
- 从教育转向建立关系的沟通策略对于管理患者的分歧是有价值的.
- 关键策略包括优先考虑患者的价值观和验证他们的情绪,以培养信任和合作.
- 培训临床医生优先考虑建立关系而不是广泛的教学,可以提高患者的健康结果和护理经验.
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