在日本和美国工作的急诊临床医生之间,代码状态实践模式的差异
Kenji Numata1, Shigeki Fujitani1, Hiraku Funakoshi2
1Department of Emergency and Critical Care Medicine, St. Marianna University, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, Japan; Department of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, 55 Fruit St, Boston, MA, USA.
Patient education and counseling
|July 17, 2024
概括
日本和美国的急诊诊所医生在严重疾病讨论方面有所不同. 日本的临床医生提出更多基于价值的问题,但基于程序的问题较少,需要文化适应的沟通培训.
科学领域:
- 医学伦理 医学伦理
- 跨文化医疗保健沟通跨文化医疗保健沟通
- 紧急医疗 紧急医疗
背景情况:
- 代码状态讨论对临终关键疾病的终身护理至关重要.
- 了解沟通实践的国际差异对于全球医疗保健标准至关重要.
- 紧急诊所医生在启动严重疾病对话方面发挥着至关重要的作用.
研究的目的:
- 为了比较日本和美国紧急诊所医生之间的自我报告的代码状态通信实践.
- 调查对重症患者提出基于程序和基于价值的问题之间的差异.
主要方法:
- 一项横截面问卷研究,涉及来自日本和美国的176名急诊临床医生.
- 参与者对一个患有末期肺癌的危急病患者的假设病例做出了反应.
- 调查问卷评估了询问患者偏好,价值观和目标的可能性.
主要成果:
- 与美国同行相比,日本急诊医生不太可能提出基于程序的问题.
- 日本的急诊医生更有可能提出基于价值的问题 (评估的12个中10个).
- 在自我报告的沟通实践中观察到显著的跨文化差异.
结论:
- 在日本和美国的急诊医生如何处理严重疾病对话方面存在实质性的差异.
- 目前在美国进行的严重疾病传播培训需要适应日本的文化背景.
- 考虑文化细微差别和专业角色对于有效的跨文化医疗保健沟通培训至关重要.
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