重症疾病对话的核心能力:综合性系统性审查
Susanna Pusa1,2, Rebecca Baxter1,2, Sofia Andersson1,2
1Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Journal of palliative care
|April 1, 2024
概括
临床医生需要特殊技能来进行严重疾病对话 (SIC). 核心能力包括对话资源,内部和人际能力,以有效的以患者为中心的沟通.
科学领域:
- 医学沟通 医学沟通
- 抚慰性护理是一种缓解性护理.
- 临床技能培训 临床技能培训
背景情况:
- 严重疾病护理计划支持患者和临床医生的目标讨论.
- 对于有效的严重疾病对话 (SICs) 的核心能力仍未得到充分探索.
研究的目的:
- 在重症病护理计划框架内,确定重症病对话 (SIC) 的核心能力.
主要方法:
- 从2014年1月到2023年3月的综合性系统文献综述.
- 在MEDLINE,PsycINFO,CINAHL和PubMed数据库中进行了搜索.
- 以Joanna Briggs Institute的指导方针进行评估的53篇包括文章的主题综合.
主要成果:
- 确定了SIC临床医生的三个核心能力主题:对话资源,内在能力和人际能力.
- 对话资源包括使用指南和沟通技巧.
- 人际能力涉及临床医生的心态和信心;人际能力侧重于同情和与患者和家人建立关系.
结论:
- 有效的SIC要求临床医生将对话资源与人际和人际技能相结合.
- 这些综合能力对于严重疾病中成功的临床医生-患者和临床医生-家庭互动至关重要.
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