相关实验视频
Updated: May 27, 2025

05:25
Setup and Execution Of the Blindfolded Code Training Exercise
Published on: March 29, 2019
9.3K
教学儿科住院医生一个沟通框架来传递困难的新闻:实践方法的随机对照试验
Jennifer Sedler1, Harvey Cohen2, Barbara Sourkes3
1Stanford University School of Medicine (J Sedler and CE Rassbach), Stanford Pediatrics, Palo Alto, Calif.
Academic pediatrics
|February 16, 2025
概括
儿科住院医生使用m-SPIKES框架提高了难以传达的新闻传递技巧. 同行角色扮演实践在掌握m-SPIKES框架方面显示出与快速循环故意实践相比的显著优势.
科学领域:
- 医学教育 医学教育
- 儿科住院培训培训 儿科住院培训
- 沟通技巧 沟通技巧 这些技巧
背景情况:
- 有效的沟通对于儿科住院医生在传递困难消息 (DDN) 时至关重要.
- m-SPIKES (修改设置,感知,参与,知识,同理心,总结/策略) 框架为DDN提供了一个结构化的方法.
- 评估DDN技能不同实践模式的比较有效性至关重要.
研究的目的:
- 通过使用m-SPIKES框架,增强儿科住院医生在传递困难新闻方面的技能.
- 为了比较同行角色扮演与快速循环故意实践 (RCDP) 在提高DDN技能和m-SPIKES掌握方面的有效性.
主要方法:
- 一项试点随机对照试验涉及28名儿科住院医生.
- 居民接受了m-SPIKES框架的教学培训.
- 参与者被随机分配到通过同行角色扮演或RCDP进行实践,通过模拟进行干预前和后的自我效能,沟通技巧和m-SPIKES掌握的评估.
主要成果:
- 所有住院人员在干预后表现出自我效能,沟通技巧和m-SPIKES掌握能力的显著改善 (P ≤ .001).
- 同行角色扮演和RCDP小组都在自我效能和基本沟通技巧方面表现出类似的收益.
- 同行角色扮演小组与RCDP小组相比,对m-SPIKES框架的掌握程度要大得多 (P = .046).
结论:
- 教育干预显著改善了儿科住院医生的难以传递新闻的技能.
- 同行角色扮演在掌握m-SPIKES通信框架方面具有显著的优势.
- 需要进一步的研究来确定RCDP在沟通技能教育中的具体好处.
相关概念视频
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.7K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.7K
Blinding
2.4K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.4K
Therapeutic Communication
4.1K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
4.1K
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Clinical Trials: Overview
2.7K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
2.7K

