居民对不确定性态度的沟通:一个单一站点的纵向调查
Anna M Kerr1, Charee M Thompson2, Claire A Stewart3
1Department of Primary Care, Heritage College of Osteopathic Medicine, Ohio University, Dublin.
Hospital pediatrics
|September 5, 2024
概括
儿科住院医生在与主治医生讨论不确定性时获得了信心,但挑战仍然存在. 建议对住院人员和护理人员进行培训,以改善关于医学教育不确定性的沟通.
科学领域:
- 医学教育 医学教育
- 儿科住院培训培训 儿科住院培训
- 医生沟通 医生沟通 医生沟通
背景情况:
- 对儿科住院医生来说,管理不确定性至关重要.
- 有效地与临床医生沟通不确定性带来了挑战.
- 需要了解居民的沟通目标和看法.
研究的目的:
- 评估居民对不确定性的自我感知沟通有效性的变化.
- 评估居民对医生讨论不确定性的意愿的看法.
- 确定居民在沟通不确定性方面的目标和挑战.
主要方法:
- 一项为期3年的调查研究 (2018-2021),涉及美国儿童医院两组儿科住院医生.
- 层次线性建模用于分析通信效率随时间变化的变化.
- 开放式的响应被编码,以确定沟通目标和挑战.
主要成果:
- 随着时间的推移,住院居民的沟通效率和看待医生讨论不确定性的意愿显著增加.
- 当居民表达不确定性时,他们平衡了多个目标 (任务,身份,关系).
- 关键的挑战包括居民表现出有能力的愿望和医生不愿意讨论不确定性.
结论:
- 儿科住院医生对沟通不确定性的信心越来越大,但这些对话仍然很复杂.
- 对不确定性进行沟通的培训对住院人员和临床医生都有好处.
- 解决沟通挑战可以改善学习环境和患者护理.
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