预测作为一种交互敏感的问题:对宿舍多学科团队会议的对话分析研究 多学科团队会议
Andrea Bruun1,2, Nicola White1, Linda Oostendorp1
1Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London.
Health communication
|August 5, 2024
概括
住院多学科团队 (MDT) 之间的预后讨论是微妙的. 分析揭示了暂停,自我修复,以及显示这些团队内预后沟通敏感性质的帐户.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医学沟通 医学沟通
- 卫生社会学 卫生社会学
背景情况:
- 预后是息治疗中一个敏感的话题,特别是在专业人员和患者之间.
- 关于医疗保健专业团队内预后的微妙性质的研究有限.
研究的目的:
- 调查住院多学科团队 (MDT) 成员在会议期间如何面对预后的微妙性.
- 确定MDT成员在讨论预后时使用的沟通策略.
主要方法:
- 分析了24次视频录制的临床医疗治疗会议.
- 使用对话分析来检查交互实践.
- 专注于语言和非语言标记器的精致性.
主要成果:
- 预测性讨论以MDT成员的敏感性为导向.
- 微妙的标志是暂停,自我修复 (例如,单词削减,重新启动) 和伴随的帐户.
- 预测请求有时难以响应,突出了复杂性.
结论:
- 预后是一个微妙而复杂的过程,在宿舍MDT会议.
- 这种微妙的原因可能包括预后不确定性和问责制,超越死亡的禁忌.
- 需要进一步的研究来了解病因,并为宿舍工作人员提供支持.
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