相对有能力的态度和行动:对一般实践文献的系统审查
Cæcilie Hansen1,2, Ann Dorrit Guassora1, Anne Beiter Arreskov1
1Centre for General Practice: The Section of General Practice Medicine and The Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Scandinavian journal of primary health care
|October 21, 2024
概括
这项研究确定了医生建立强大医生患者关系的关键态度和行动. 它提出了一般实践中关系能力的框架,以加强患者护理.
科学领域:
- 医学教育 医学教育
- 一般实践一般实践
- 在医疗保健领域的沟通
背景情况:
- 医生与病人之间的关系至关重要,但缺乏明确的描述框架.
- 以患者为中心的医学把医生对这种关系的责任交给了医生.
- 关于教师与学生关系的教学文献提供了关系能力的模型.
研究的目的:
- 在一般实践咨询中确定关系能力的核心要素.
- 具体说明医生在建立和维护患者关系质量的过程中所采取的行动.
- 提出一个医生与病人关系的框架.
主要方法:
- 对两个数据库的系统文献审查.
- 使用代和主题演分析进行定性合成.
- 包括15项研究,在选了1256个初次成功后进行了查.
主要成果:
- 确定了四种关系能力的态度:注意情绪,奉献,心态化和以时间为导向的存在.
- 确定了四种关系能力的行为:开放,调整,提供支持和使用幽默.
- 发现信任和持续的联系是态度和行动的组成部分.
结论:
- 为全科医生 (GPs) 制定了专业关系能力的解释框架.
- 该框架包括咨询的具体态度和行动.
- 该框架包括四个关键态度和四个附加组件的行动类别.
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