在家庭医学实习期间,教师与学生沟通的挑战:一项定性研究
Isaías Hernández-Torres1, Octavio N Pons-Álvarez1, Luisa F Romero-Henríquez2
1Facultad de Medicina, Subdivisión de Medicina Familiar, Universidad Nacional Autónoma de México, Ciudad de México, México.
PloS one
|September 17, 2024
概括
家庭医学专业的沟通挑战,包括权力不平衡和技能缺口,会对学习和患者护理产生负面影响. 解决这些问题需要课程改革,以整合医疗保健专业人员的基本沟通技巧.
科学领域:
- 医学教育 医学教育
- 医疗保健通讯 医疗保健通讯
- 家庭医学 家庭医学 家庭医学
背景情况:
- 医疗保健专业人员之间的沟通缺陷影响医疗教育和临床实践.
- 分析教师-居民沟通障碍对于改善医疗保健培训至关重要.
- 解决这些问题可以减轻对学习和患者护理的负面影响.
研究的目的:
- 识别家庭医疗住院教师和住户之间常见的沟通挑战.
- 分析这些挑战对与同行,工作团队和患者的互动的影响.
主要方法:
- 使用关键事件技术进行定性研究.
- 从墨西哥共和国的七十名教师和五十名三年级居民收集的数据.
- 分析了与沟通体验相关的192个关键事件.
主要成果:
- 四个沟通主题出现了:不对称的,自信的,组织性的和有效的沟通.
- 关键的挑战包括滥用权力,缺乏沟通技巧和缺乏机构道.
- 这些问题对学习,工作环境,人际关系和医疗保健产生了重大影响.
结论:
- 墨西哥家庭医疗住院的沟通问题阻碍了学习和协作.
- 观察到对工作环境,人际关系和医疗护理质量的负面影响.
- 课程改革迫切需要,以纳入必要的沟通技巧培训.
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