在救护车中的医生中对后扩张的多模式对话分析:一种定性描述性研究
Yinong Tian1, Yixuan Cui2, Xin Li1
1School of Foreign Languages and Literature, Shandong University, Jinan, Shandong, People's Republic of China.
Journal of multidisciplinary healthcare
|April 22, 2025
概括
救护车中的医生使用特定的沟通序列和非语言手势,如手动,来管理患者的互动,并提高紧急护理的效率. 这项研究突出了提高医疗沟通的策略.
科学领域:
- 紧急医疗 紧急医疗
- 沟通研究 沟通研究
- 医疗保健互动分析 互动分析
背景情况:
- 救护车通信对于患者的治疗结果和紧急医疗服务的运营效率至关重要.
- 关于医生在救护车环境中面临的沟通挑战的研究有限.
- 在救护车中有效的医生与患者沟通对于最佳的患者护理至关重要.
研究的目的:
- 通过使用对话分析,对救护车中医生与病人沟通的序列组织进行定性探索.
- 确定特定于救护车环境的沟通挑战和交互模式.
- 改善与紧急医疗通信相关的临床教育和医疗保健实践.
主要方法:
- 多模式对话分析应用于中国10辆救护车的视频录像.
- 数据包括涉及12名医生,10名患者和8名伴侣的互动.
- 视频转录使用杰斐逊转录系统创建.
主要成果:
- 医生在救护车互动中表现出对患者偏差反应的多样化反应.
- 观察到一个反复出现的请求-分散响应-后扩展序列模式.
- 三种不同的手势 (握住,抓住,举起手) 被确定为有效的后扩张协调.
结论:
- 医生战略性地使用交互空间和非语言线索来管理与病人和救护车上的同伴的沟通.
- 对互动困境的分析为医生的非语言行为提供了洞察力.
- 这些发现为防止错误沟通和确保在医疗紧急情况下有效沟通提供了新的视角.
更多相关视频
相关概念视频
SBAR I: Understanding the Concept
4.2K
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...
4.2K
Barriers to Effective Communication II
3.5K
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...
3.5K
Methods of Documentation II: POMR
844
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
844
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.4K
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...
7.4K
SBAR II: Application of SBAR
4.2K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.2K
Communication
5.3K
Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
5.3K


