医生有感情:阐明了情绪价值,临床推理和上下文特异性之间的关系
Thomas Bertagnoli1, Steven Durning2, Michael Soh2
1Department of Pediatrics, Uniformed Services University of the Health Sciences, Pediatrics, Bethesda, MD, USA.
Medical education online
|September 23, 2024
概括
情绪影响临床推理 (CR). 背景因素增加了负面情绪,并改变了CR策略,影响了医疗实践和教育.
科学领域:
- 医学教育 医学教育
- 认知科学 认知科学
- 心理学 心理学 心理学
背景情况:
- 情绪显著影响临床推理 (CR).
- 情绪价值,CR和环境之间的相互作用仍然未被充分探索.
- 定位认知框架没有明确地解决CR中的情感价值.
研究的目的:
- 研究如何在CR期间表现出情绪价值和兴奋.
- 检查背景因素对情绪价值和CR的影响.
- 探索情感价值,CR主题和背景之间的关系.
主要方法:
- 45名医生审查了两个视频病例 (有和没有上下文因素).
- 参与者参与了"大声思考"协议.
- 主题分析编码了CR活动,情感价值和兴奋.
主要成果:
- 中性价值是最常见的 (85.2%),其次是负值 (11.2%) 和正值 (3.5%).
- 五个CR主题出现了:知识组织,谨慎进行,好奇心,假设和反思.
- 背景因素增加了负价值,减少了正价值,并将CR从知识组织转移到谨慎和好奇.
结论:
- 情感价值和CR主题是动态的,并且取决于背景.
- 这些发现对临床实践,医学教育和未来的CR研究有影响.
- 了解情绪-情境-CR联系对于改善医疗保健至关重要.
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