三种类型的不确定性:对家庭医学居民的定性研究
Laura Purkl1, Konrad Hierasimowicz1, Norbert Donner-Banzhoff1
1Department of Family Medicine, University of Marburg, Marburg, Germany.
Family medicine
|October 21, 2024
概括
家庭医学医生经常遇到不确定性,使用信息搜索和反思策略来应对. 这种经验可以促进学习,提高自信,强调需要解决培训中的不确定性.
科学领域:
- 医学教育 医学教育
- 家庭医学 家庭医学 家庭医学
- 心理学 心理学 心理学
背景情况:
- 不确定性在医疗实践中很普遍,但在家庭医疗中不太了解,特别是在居民中.
- 现有的研究还没有充分探讨与这个人口群体的不确定性相关的具体情况和应对机制.
研究的目的:
- 调查家庭医生住院医生遇到不确定性的情况.
- 确定居民用来管理不同形式的不确定性所采用的应对策略.
- 为制定家庭医学培训计划提供信息.
主要方法:
- 对15名住院居民和年轻家庭医生进行了半标准化采访.
- 收集并分析了40个描述不确定性经历的案例.
- 开发了一个基于既有定性研究方法的编码系统.
主要成果:
- 不确定性在各种情况下出现,通常涉及复杂的生物医学,人际关系和心理社会因素.
- 通过寻求信息和咨询高级同事来管理生物医学不确定性.
- 通过反射策略来解决人际关系和心理社会不确定性.
- 参与者主张提前和公开讨论医疗培训中的不确定性.
结论:
- 家庭医生认为不确定性是他们工作的一个重要,往往是积极的方面.
- 经历不确定性可以增强学习,增加自信.
- 解决不确定性对于有效的家庭医学专家培训至关重要.
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