沟通需求的等级:在巴西的COVID-ICU中开发的针对高度不信任的环境的新型沟通策略
Daniel Neves Forte1,2, Mark Stoltenberg3,4, Sabrina Correa da Costa Ribeiro1
1Intensive Care Unit, Medical Emergency Department, University of São Paulo Medical School, São Paulo, Brazil.
Palliative medicine reports
|February 28, 2024
概括
由于COVID-19大流行,重症监护室 (ICU) 需要制定新的沟通策略,优先考虑信任和情感联系,而不是仅仅是认知方法,以更好地照顾患者.
科学领域:
- 医疗保健通讯 医疗保健通讯
- 神经生物学在医学中的应用
- 患者体验 患者体验
背景情况:
- 随着COVID-19的流行,医疗保健系统中产生了高度压力的环境.
- 由于过度拥挤,严重疾病和患者不信任,传统的沟通方法被证明是不够的.
研究的目的:
- 根据神经生物学原则制定一种新的沟通策略.
- 解决患者在高度不信任的环境中独特的沟通需求,特别是COVID-ICU.
主要方法:
- 建立了沟通需求的层次结构,专注于三个层面:信任,情感共和认知信息交换.
- 临床医生接受了培训,当出现沟通挑战时,他们可以恢复到较低的水平 (信任/情绪).
主要成果:
- 这项研究强调了纯认知沟通风格的局限性,正如大流行所揭示的那样.
- 拟议的层次结构强调信任和情感共是有效信息披露和共享决策的基础.
结论:
- 这种以神经生物学为基础的策略增强了临床医生与患者的沟通,促进了文化谦卑,更好地服务于多样化的人口.
- 需要进一步的研究来完善这种方法,并评估其对患者结果和经验的影响.
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