"一起走":关系如何塑造医生临床推理
Jeffrey D Krimmel-Morrison1, Bjorn K Watsjold2, Gabrielle N Berger1
1Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Medical education
|March 25, 2024
概括
医生与患者之间的关系通过平衡护理标准与以患者为中心,显著塑造了临床推理. 了解这些动态对于医学培训和实践至关重要.
科学领域:
- 医学教育 医学教育
- 定性研究是指质量研究.
- 健康心理学 心理健康心理学
背景情况:
- 临床推理越来越被认为是上下文依赖的.
- 医生与患者之间的关系是影响临床决策的重要背景因素.
研究的目的:
- 探索医生与患者之间的关系如何塑造他们的临床推理过程.
- 了解维持关系和临床决策之间的相互作用.
主要方法:
- 构造主义的立足理论方法.
- 与15名初级保健医生进行了半结构面试.
- 面试成绩单的持续比较分析.面试成绩单的持续比较分析.
主要成果:
- 患者主动性成为临床推理的核心影响.
- 医生基于对病情的理解进行了个性化护理.
- 标准护理和以患者为中心之间的紧张关系设法维持了关系.
- 护理人员关系也被认为是重要的上下文影响.
结论:
- 医生-病人和护理人员关系显著影响临床推理.
- 将专业标准与以患者为中心的平衡,会造成紧张局势.
- 这些发现对医学培训和临床实践有影响.
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