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Updated: Jun 26, 2025

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Published on: August 1, 2017
采用双向反的问-答-问,改善了反文化
Joseph A Dayaa1, Milza Howard2, Winston Li2
1University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. joseph.dayaa@unchealth.unc.edu.
实施一个以双向沟通增强的问问问问反模型显著改善了医生和学生对反质量的看法,并促进了精神病学培训中更积极的反文化.
科学领域:
- 医学教育 医学教育
- 精神病学培训 精神病学培训
- 反模型 反模型
背景情况:
- 有效的反对于医学教育的专业发展至关重要.
- 传统的反方法可能无法充分促进双向沟通或可操作的目标设定.
- 询问-告诉-询问模型提供了一个结构化的反交付方法.
研究的目的:
- 评估一个增强的问问问问反模型对医生和医学学生反的感知的影响.
- 评估是否通过双向反来增强"问-告诉-问"模式,从而改善整体反文化.
主要方法:
- 这种以双向反为重点的问问问问模式,在一家住院精神病学病房中实施.
- 出席的医生接受了模型的培训,并与学员进行了每周的反会议.
- 轮换前后的调查评估了人们对反清晰度,可预测性,可操作性和双向性的看法.
主要成果:
- 对所有反感知项目的调查评分在干预后显著改善 (p < 0.0001).
- 定性分析显示,反文化从受约束和层次化的转变为建设性的和易于接触的.
- 这项干预导致了感知反环境的统计学上显著改善.
结论:
- 问-告诉-问反模型,当增强双向反时,显著改善了反的感知方式.
- 这种模式积极地改变了精神病医疗住院计划的整体反文化.
- 强调给予和接受反是提高其有效性的关键.
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