重新思考咨询范式:一个新的框架的有效性证据,一个多方法研究
Rushad Patell1, Joséphine A Cool2, Elise Merchant3
1Harvard Medical School, Beth Israel Deaconess Medical Center, Division of Hematology and Hematologic Malignancies, Boston, Massachusetts, USA.
Journal of hospital medicine
|March 13, 2024
概括
在五个内部医学专业中成功应用了分类医院咨询的新框架. 该系统显示了在医疗保健环境中加强沟通和教育的潜力.
科学领域:
- 医疗保健管理的管理
- 医学沟通 医学沟通
- 临床工作流的优化 临床工作流优化
背景情况:
- 医院内咨询对于患者的护理至关重要.
- 一个先前提出的框架,包含七种咨询类型,旨在改善沟通,工作流程和供应商满意度.
研究的目的:
- 评估七种类型的咨询分类框架对现实世界内科咨询的适用性.
- 用凯恩的有效性模型收集框架的有效性证据.
主要方法:
- 一项涉及重点小组和分类的多方法研究,对来自五个专业的500个内科咨询请求进行了分类.
- 焦点组的定性主题分析和分类一致率的定量分析.
- 专家和医院医生之间的一致率的比较,使用基平方测试.
主要成果:
- 从定性分析中出现了五个主要主题,包括咨询问题,人际交互,价值,错误沟通和框架应用.
- 该分类框架的整体一致率为88.8%.
- 完美的一致性为46.6%,医院医生 (67.2%) 与专家 (57.8%) 相比,完美的一致性显著更高.
结论:
- 咨询分类框架证明了在五个内科专科的适用性.
- 该框架有可能改善医院环境中的沟通和教育.
相关概念视频
Data Validation
5.0K
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
5.0K
Reliability and Validity
12.7K
Reliability and validity are two important considerations that must be made with any type of data collection. Reliability refers to the ability to consistently produce a given result. In the context of psychological research, this would mean that any instruments or tools used to collect data do so in consistent, reproducible ways.
12.7K
Formulating and Validating Nursing Diagnosis II
2.8K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
2.8K
Social Proof
27.7K
Social proof is a form of persuasion based on comparison and conformity. People compare their behavior and actions to what others are doing and will change to conform to do what their peers do.
27.7K
Confirmation Biases
5.5K
The confirmation bias is the tendency to focus on information that confirms our existing beliefs and ignore information that is inconsistent with our expectations. For example, if you think that your professor is not very nice, you notice all of the instances of rude behavior exhibited by the professor while ignoring the countless pleasant interactions he is involved in on a daily basis. Have you ever fallen prey to the confirmation bias, either as the source or target of such bias?
5.5K
Cause and Effect
10.9K
While variables are sometimes correlated because one does cause the other, it could also be that some other factor, a confounding variable, is actually causing the systematic movement in our variables of interest. For instance, as sales in ice cream increase, so does the overall rate of crime. Is it possible that indulging in your favorite flavor of ice cream could send you on a crime spree? Or, after committing crime do you think you might decide to treat yourself to a cone?
10.9K


