通过结构化模块引入实习生的正式培训,以同情的方式向实习生传递坏消息
Upinder Kaur1, Rajiv Mahajan2, Mridul Madhav Panditrao1
1Department of Anaesthesiology and Intensive Care, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.
International journal of applied & basic medical research
|January 3, 2025
概括
年轻的医生接受了关于打破坏消息的培训. 结构化模块显著提高了他们的技能和信心,使他们能够向患者传达敏感信息.
科学领域:
- 医学教育 医学教育
- 沟通技巧 沟通技巧 沟通技巧
- 患者护理 患者护理
背景情况:
- 缺乏正式培训阻碍了年轻医生有效地传递坏消息的能力.
- 不能有效地传递坏消息可能会对医生与患者的关系产生负面影响.
研究的目的:
- 通过结构化的教育模块,培训医疗实习生掌握"打破坏消息"的关键技能.
- 提高实习生在敏感信息方面的患者沟通能力和信心.
主要方法:
- 为实习生举办了一场研讨会,包括交互式讲座,视频,汇报和讨论.
- 用前/后测试,反评估,小组活动和模拟患者接触来评估技能.
- 在研讨会15天后,使用技能检查清单进行评估.
主要成果:
- 在训练后,观察到参与者的书面测试成绩有统计学上显著的改善 (P < 0.0001).
- 实习生报告说,在会议结束后,他们有更好的能力和信心来打破坏消息.
- 技能评估表明,大多数实习生从初学者改进到打破坏消息的中位数为2分.
结论:
- 结构化模块是一种有效的策略,可以提高实习生在传递坏消息方面的技能.
- 培训计划对实习生对患者沟通的信心和能力产生了积极的影响.
- 增强的沟通技巧对于加强医生患者关系至关重要.
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