医生谦卑:一篇回顾和呼吁重振医学中的美德
Caroline L Matchett1, Ellen L Usher1, John T Ratelle1
1Mayo Clinic, Rochester, Minnesota (C.L.M., E.L.U., J.T.R., D.A.S., A.N.L.H., A.P.S.).
Annals of internal medicine
|July 29, 2024
概括
医生的谦卑对于专业身份和实践至关重要. 了解它在学习,错误导航和团队工作中的作用可以提高患者护理和医学教育.
科学领域:
- 医学伦理 医学伦理
- 职业身份的形成 职业身份的形成
- 医生福利 医生福利
背景情况:
- 医生的美德,特别是谦卑,是专业身份和实践的组成部分.
- 现有的文献提出了关于医生谦卑的各种观点,需要更清晰的概念化.
- 医疗教育中越来越多地强调美德,以发展专业身份.
研究的目的:
- 发展一个统一的医生谦卑的概念化.
- 在医疗实践中定义医生谦卑的功能角色.
- 为了识别培养和实践医生谦卑的挑战.
主要方法:
- 在多个数据库 (PubMed,MEDLINE,科学网,Embase,ERIC,PsycInfo) 进行全面的文献搜索,截至2023年10月.
- 包括标准集中在医生的谦卑;排除标准针对无关的话题,非医生专业人士,缺乏概念深度或仅仅关注文化谦卑.
- 应用了主题分析来综合包含的文章的发现.
主要成果:
- 医生谦卑的综合概念化得到发展,包括自我,其他和专业立场.
- 医生谦卑在五个关键领域发挥着关键作用:学习/成长,错误导航,容忍不确定性,信任/委托以及团队合作/沟通.
- 确定了医生谦卑的培养和实践的内在,人际和社会背景挑战.
结论:
- 促进医生谦卑对于塑造医生的行为,思想和与患者,同事和专业的关系至关重要.
- 将谦卑融入医学教育中对于维护专业理想和培养道德选择权至关重要.
- 培养谦卑支持自我反思和体现模范医生原则.
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