在讨论严重新闻之前,不要问你的病人想要多少信息
Natalie K Munger1, Julia H Vermylen1, Laurie M Aluce1
1Division of Hospital Medicine, Section of Palliative Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
The American journal of hospice & palliative care
|July 26, 2024
概括
临床医生应该避免在讨论严重新闻时询问患者想要多少细节. 相反,以患者为中心的方法,包括许可,明确的标题和及时的支持,可以确保有效的沟通.
科学领域:
- 医疗教育 医学教育
- 临床交流 临床沟通
- 以患者为中心的护理
背景情况:
- 讨论严重的新闻是一个关键的临床技能.
- 当前的方法,比如询问所需的细节,可能会导致混乱.
- 有效的沟通对于患者的理解和信任至关重要.
研究的目的:
- 评估在传递严重新闻时询问患者所需细节的有效性.
- 提出和验证一个替代的沟通策略来讨论严重的新闻.
- 改善临床环境中以患者为中心的沟通.
主要方法:
- 分析了数百次记录的患者与临床医生的对话.
- 十年来观察医学学生的沟通技巧.
- 开发和测试一个新的沟通框架,以提供严的新闻.
主要成果:
- 询问患者想要的细节往往会导致混乱.
- 建议的方法,重点是许可,明确的标题和支持,更有效.
- 这种方法促进了量身定制的信息传递,并减少了患者的困惑.
结论:
- 询问细节偏好的传统方法是不理想的.
- 包括许可,简要信息和情感支持在内的结构化方法可以增强严的新闻传递.
- 这一策略在困难的对话中促进了高质量的,以患者为中心的沟通.
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