医生应该在多大程度上与患者沟通诊断的不确定性? 一个经验道德的幅研究研究
Caitríona Cox1, Thea Hatfield2, Matthew Parry3
1The Healthcare Improvement Studies Institute, The University of Cambridge, Cambridge, UK clc70@cam.ac.uk.
Journal of medical ethics
|February 26, 2025
概括
患者更喜欢对诊断不确定性进行更多沟通,即使这会引起担忧. 医生应该分享更多的不确定性信息,以避免潜在的剥夺患者和加剧健康不平等.
科学领域:
- 医学伦理 医学伦理
- 患者沟通 患者沟通
- 健康心理学 心理健康心理学
背景情况:
- 关于传播诊断不确定性的以患者为中心的研究是有限的.
- 诊断不确定性是医疗保健机构中常见的体验.
- 了解患者的偏好对于有效的沟通策略至关重要.
研究的目的:
- 确定患者在沟通诊断不确定性方面的偏好.
- 检查诊断不确定性沟通对患者的影响.
- 为沟通诊断不确定性制定伦理建议.
主要方法:
- 一种综合数据收集和伦理分析的经验伦理方法.
- 一项随机交叉研究,其中111名公众观看视频片段.
- 在线调查问卷评估偏好,满意度,信任,担忧和理解;定量和定性数据分析.
主要成果:
- 参与者更喜欢更多的诊断不确定性的沟通,尽管担心增加了.
- 定性数据揭示了患者对喜欢的沟通方式的不同看法.
- 研究结果强调了临床医生在平衡潜在的危害和益处方面面临的挑战.
结论:
- 临床医生应优先沟通更大的诊断不确定性.
- 避免基于父权主义的不确定性沟通,有可能使患者失去权力.
- 不同的沟通策略可能会加剧健康不平等.
相关概念视频
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
Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
Role of Communication in the Nursing Process I: Assessment and Diagnosis
3.2K
The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
3.2K
Guidelines for Nursing Documentation I
1.0K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.0K
SBAR I: Understanding the Concept
4.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.3K
Nursing Diagnosis
2.6K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
2.6K


