临床医生和患者在医疗保健访问期间讨论结果的观点 - - 通过二次面试进行定性研究
D E M van der Horst1, E G Engelhardt2, M Hackert2
1St. Antonius Hospital, Department of Internal Medicine, Nieuwegein, the Netherlands; Santeon, Utrecht, the Netherlands; Leiden University Medical Centre, Department of Internal Medicine, Leiden, the Netherlands.
Patient education and counseling
|July 1, 2025
概括
患者和临床医生的讨论健康结果的偏好各不相同. 开放的对话和了解对方的需求,而不是假设,对于有效的沟通和共同决策至关重要.
科学领域:
- 卫生沟通健康沟通
- 患者与医疗服务提供者的关系
- 共享决策 - - 分享决策
背景情况:
- 关于健康结果的有效沟通在临床实践中至关重要.
- 了解患者和临床医生的观点,讨论各种结果类型对于改善护理至关重要.
- 之前的研究还没有充分探讨这些讨论的细微差别.
研究的目的:
- 探索患者和临床医生的观点,讨论临床结果,患者报告的结果 (PRO),预后结果和结果比较.
- 确定影响对结果讨论偏好的因素.
- 了解假设和错误假设在这些对话中的作用.
主要方法:
- 对22名患者 (乳腺癌,慢性病) 和他们的治疗临床医生进行了二次采访.
- 探讨了讨论不同类型的健康结果的观点.
- 分析了采访数据以确定主题和模式.
主要成果:
- 患者和临床医生的讨论结果的偏好因数据重点,感知控制,不确定性容忍和动机影响等因素而异.
- 两组都同意,避免信息过载和培养基于信任的关系是关键的促进者.
- 采访揭示了患者和临床医生之间的错误假设,导致对非医疗信息的相关性和感知到的信息需求的见解.
结论:
- 患者和临床医生在讨论各种健康结果方面有不同的偏好.
- 双向面试有效地揭示了相互错误的假设.
- 强调开放的对话和探索信息需求,而不是假设它们,对于减轻不良影响和增强患者-临床医生沟通至关重要.
相关概念视频
Guidelines for Writing Outcome
3.0K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.0K
Data Collection II
8.6K
The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
8.6K
Ethical Dilemmas II
1.4K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.4K
Role of Communication in the Nursing Process II: Planning and Implementation
1.9K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.9K
Interdisciplinary Care: The Health Care Team-II
1.5K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.5K
Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K


