家庭医学研究生教育中的同情心:混合研究系统审查
David Ortiz-Paredes1, Peterson Adam Henet2,3, Martin Desseilles4
1Department of Family Medicine, School of Medicine, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
Medical teacher
|March 31, 2024
概括
本综述探讨了家庭医学培训中的同理心,专注于认知方面,并确定了影响同理心的因素. 它还指出了同情,倦怠和同情疲劳之间的联系.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 同理心对于有效的病人与医生的关系至关重要,特别是在家庭医学中.
- 了解同理心是如何概念化和在研究生家庭医学的教学是必不可少的.
研究的目的:
- 在家庭医学研究生培训中系统地审查和综合对同情心的研究.
- 探索定义,影响因素,与倦怠的关系,以及对同情心的教育干预措施.
主要方法:
- 对Medline,PsyINFO和Embase的系统混合研究审查.
- 两个独立的审稿人对摘要和全文进行了选.
- 包括18项研究的专题综合.
主要成果:
- 出现了四个主题:同理心定义 (认知焦点),同理心修饰者 (角色模范的积极影响,个人生活因素),同理心-倦怠关系 (与倦怠相关的同理心较低,过度同理心与同情疲劳相关) 和教育计划 (通信,正念,以艺术为基础).
- 研究主要测量同情心的认知方面.
- 确定了五个不同的同理心发展教育计划.
结论:
- 同理心的道德组成部分在当前的概念化和干预中表现不足.
- 关于在住院期间同情心下降的证据是相互矛盾的.
- 建议进行纵向研究,以追踪医学教育中的同理心演变.
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