在种族一致的护理中导航通信:医学教育的考虑因素
LaKesha N Anderson1, Taryn R Taylor2, Tylin Siwemuke3
1Department of Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, MD.
Family medicine
|January 8, 2025
概括
黑人/非裔美国医生和学生使用文化知情,以患者为中心的沟通与黑人/非裔美国患者,像家人一样接近他们. 这种方法优先考虑共享理解,并打破传统的医疗沟通风格.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 卫生社会学 卫生社会学
背景情况:
- 以患者为中心的沟通 (PCC) 对于有效的医疗保健至关重要.
- 现有的文献不充分地描述了黑人/非裔美国人 (B/AA) 医疗专业人员和学生之间的PCC实践.
- 了解B/AA提供者与B/AA患者的沟通风格对于解决健康公平至关重要.
研究的目的:
- 探索B/AA主治医生,住院医生和医学学生如何与B/AA患者实施PCC.
- 确定B/AA医疗保健提供者在跨文化患者互动中使用的独特沟通策略.
- 为医学教育课程提供文化敏感沟通的信息.
主要方法:
- 涉及41名B/AA主治医生,住院医生和医学学生的定性研究.
- 雪球采样用于通过专业网络招募参与者.
- 半结构面试分析使用专题分析来识别沟通模式.
主要成果:
- 在与B/AA患者互动时,B/AA提供者使用PCC.
- 沟通策略植根于共同的文化背景,对待患者类似于家庭.
- 医疗服务提供者报告说,将患者置于中心方便了与共享的规范和理解一致的沟通.
结论:
- B/AA医疗保健专业人员与B/AA患者使用个人和家庭沟通方法.
- 这些方法挑战了传统的提供者-患者沟通模式,这些模式忽视了文化背景.
- 研究结果强调了文化一致性在以患者为中心的沟通中对于改善健康结果的重要性.
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