参与全科医生的协调同理心:一种解释性的现象学方法来构建一种同理心的概念模型
Eishin Muramatsu1, Noriyuki Takahashi2, Muneyoshi Aomatsu3
1Nagoya University School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
BMC primary care
|April 26, 2025
概括
临床全科医生利用道德和认知同理心来理解和支持患者,使用行为同理心来建立信任. 他们平衡了人文关怀和专业界限,展示了对同情实践的微妙方法.
科学领域:
- 医学教育 医学教育
- 一般实践 一般实践
- 医生与病人沟通 医生与病人沟通
背景情况:
- 在全科医院,同理心至关重要,它会影响患者的满意度和结果.
- 有限的研究存在于医生对同情心的看法.
- 这项研究探讨了临床全科医生之间的同情感知.
研究的目的:
- 概念化参加全科医生对同情感的看法.
- 识别影响这些感知的经验.
- 在实践中了解同理心组件的协调.
主要方法:
- 解释性现象学的方法.
- 四个半结构面试与三个董事会认证的常务医生.
- 分析使用编码和理论化的步骤程序与四个组成部分的同理心框架 (道德,情感,认知,行为).
主要成果:
- 参与者展示了一种以使命为导向的道德同理心,以理解和支持患者.
- 认知同情主要用于理解患者的感受和想法.
- 行为同理心被用来培养信任和开放的沟通,而由于职业界限,情感同理心的频率较低.
结论:
- 临床全科医生熟练地整合了四个同理心组成部分.
- 他们有效地平衡了同情的病人护理与专业的客观性.
- 研究结果为同情的实践提供了一个模型,同时保持专业界限.
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