医学学生和住院人员从通过患者的角度反思所学到的东西:一种定性研究
Kazuki Tokumasu1, Puthiery Va2, Haruo Obara1
1Department of General Internal Medicine, Okinawa Chubu Hospital, Uruma, Japan.
International journal of medical education
|December 6, 2024
概括
在困难的互动中反思患者的观点有助于医疗学员理解他们的实践. 这一过程提高了人们对改善以患者为中心的护理的意识和意愿.
科学领域:
- 医学教育 医学教育
- 定性研究是指质量研究.
- 以患者为中心的护理
背景情况:
- 难以实现的患者与医生的互动,为医疗学员带来了独特的学习挑战.
- 了解患者的观点对于开发有效的临床技能至关重要.
研究的目的:
- 在具有挑战性的患者与医生的接触中,从患者的角度识别反射过程.
- 探索这些反射如何提高医学学生和住院人员在临床实践中的自我意识.
- 为了比较美国和日本之间的这些过程.
主要方法:
- 使用半结构面试进行描述性定性研究.
- 来自美国和日本的20名医学学生和居民的方便抽样.
- 在建设主义范式内进行反思性的专题分析.
主要成果:
- 实习生确定了四个关键认知:不同的期望,沟通障碍,时间限制和医疗保健系统的挑战.
- 三种类型的意识出现了:适当的沟通,同情和对患者和医生关系的信任.
- 反思培养了改变未来行为的意愿.
结论:
- 从患者的角度反思可以提高学员对临床经验的理解.
- 这个过程使学员的认知与患者的感知保持一致,促进行为变化.
- 它有助于更深入地实现以人为中心的护理原则.
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