"像一个热的土豆":临床医生-家长沟通关于新生儿毒理学测试的崩
Gina Liu1, Brianna J Wright1, Leah N Schwartz2
1Harvard Medical School, Boston, Massachusetts.
Hospital pediatrics
|March 9, 2025
概括
临床医生很少与父母讨论新生儿毒理学测试的好处,导致混乱. 两个群体都希望更清晰的沟通和结构化的同意流程,以改善理解和信任.
科学领域:
- 围产儿医学 围产儿医学
- 临床交流 临床沟通
- 患者与医疗服务提供者的关系
背景情况:
- 新生儿毒理学检测是常见的,但往往缺乏关于其目的和影响的明确沟通.
- 了解父母和临床医生的观点对于改善沟通实践至关重要.
研究的目的:
- 检查新生儿临床医生和父母对新生儿毒理学测试周围沟通的看法.
- 在此背景下,识别有效沟通的障碍和促进者.
主要方法:
- 与15名新生儿临床医生和15名父母 (2021-2022) 进行了半结构化采访.
- 采访探讨了迹象,感知,同意,知识和护理团队的互动.
- 诱导主题分析用于分析编码的采访成绩单.
主要成果:
- 父母报告说,由于缺乏关于测试好处和风险的沟通,他们感到困惑.
- 临床医生担心破坏关系,避免讨论儿童保护服务的潜在参与.
- 两组人都希望更透明的沟通和结构化的同意流程.
结论:
- 新生儿临床医生很少与家长讨论毒理学测试的临床益处.
- 家长和临床医生倡导提高毒理学测试的透明度和结构化沟通.
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