愤怒降级:为三年级和四年级医学学生提供标准化患者研讨会
Kaylee Gouge1, Aric Schadler2, Kristen E Fletcher3
1Third-Year Resident, Departments of Internal Medicine and Pediatrics, University of Kentucky College of Medicine.
MedEdPORTAL : the journal of teaching and learning resources
|March 12, 2025
概括
经过愤怒缓和训练的医学学生表现出更好的自信和评估能力. 这次沟通研讨会增强了管理具有挑战性的患者接触的自我效能.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 患者管理 患者管理
背景情况:
- 医学学生往往缺乏为缓解患者和家人的愤怒而做好准备.
- 这种不准备可以导致学生和医生的负面情绪结果.
- 现有的文献缺乏具体的教学工具,用于管理高级医学生患者的愤怒.
研究的目的:
- 为高级医学学生开发和评估一个沟通研讨会,专注于识别和管理患者的愤怒.
- 评估研讨会对学生的信心和处理愤怒患者遭遇的技能的影响.
主要方法:
- 一个为期2小时的基于患者 (SP) 的标准化沟通研讨会是为高级医学学生设计的.
- 参与者参与了角色扮演愤怒的患者场景,随后是辅导员领导的汇报.
- 使用研讨会前和后的调查以及观察到的结构化教学练习来评估有效性.
主要成果:
- 在学生自我报告的愤怒识别和缓解愤怒的信心中观察到统计学上显著的改善 (p < .001).
- 学生在评估沟通策略对控制患者愤怒的有效性方面显著改善 (p < .001).
结论:
- 基于证据的沟通策略,如护士记忆,增强学生的信心和技能在管理愤怒的病人/家庭.
- 研讨会可以提高自我效能,并减轻临床实践过渡期间的负面情绪经历.
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