深入研究:与医生进行的定性研究,探讨了解雇面试的目的和挑战
Lorena Morschek1, Jobst-Hendrik Schultz1, Ricarda Wigbels2
1Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany.
Postgraduate medicine
|February 15, 2024
概括
医生认为退院面试对于信息交换至关重要,但由于培训不足和沟通障碍,他们面临着挑战. 加强医疗教育关于出院沟通对于以患者为中心的护理至关重要.
科学领域:
- 医疗教育 医学教育
- 患者沟通 患者沟通
- 医疗保健管理的管理
背景情况:
- 出院沟通是医院护理的一个关键方面,通常与糟糕的结果有关.
- 出院面试是德国的法律要求,旨在促进患者顺利过渡.
- 有效的出院管理对于减少再入院和提高患者安全至关重要.
研究的目的:
- 为了调查医生对解雇访谈的目标的看法.
- 确定医生在患者出院访谈期间遇到的挑战.
- 探索出院面试在整体患者护理和医院管理中的作用.
主要方法:
- 与海德堡大学医院的12名医生进行了半结构面试.
- 通过使用MAXQDA软件来分析采访数据,采用了定性内容分析.
- 该研究期为2020年2月至4月,重点关注医生经验.
主要成果:
- 医生认为获取和提供信息,以及回答患者的问题是采访的关键目的.
- 显著的挑战包括建立共同的语言,患者特定的问题,病房环境限制和不充分的培训.
- 据报道,缺乏正式培训,导致医生不安全,尽管有专业经验.
结论:
- 医疗培训不足以为医生准备以患者为中心的出院沟通.
- 需要加强医疗课程,提供有关放学面试的理论和实践培训.
- 改进的培训可以优化出院面试的目的和潜力,可能减少再录取.
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