提高产科和妇科住院医生的严重疾病沟通技巧:一项试点研究
Monica J Janke1, Laura Taylor2, Michael P Mendez3
1Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Michigan, Ann Arbor, Michigan 48109.
Journal of surgical education
|July 18, 2025
概括
一个新的课程显著改善了妇产科医生住院的舒适性和准备在传递严重的消息. 这种培训对于提高产科和妇科患者的沟通技巧至关重要.
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
- 产科和妇科 产科和妇科
背景情况:
- 传递严的新闻是妇产科医生的一个关键技能.
- 有效的沟通培训往往缺乏在妇产科医生住院计划.
- 对于严重疾病沟通的住户,有必要制定结构化的教育策略.
研究的目的:
- 实施一门关于重症疾病传播的试点课程,为妇产科医生住院生提供.
- 评估居民在课程前后的自我准备和舒适度.
主要方法:
- 使用VitalTalk框架开发了一门针对妇产科医生的课程.
- 包括教学课程和实时模拟.
- 通过5分利克特级别的课前和课后调查来评估参与者.
主要成果:
- 居民报告说,在传递严重新闻时,舒适度显著增加 (中位数从4.0增加到5.0,p=0.001).
- 关键沟通技能的准备,包括同情心,家庭会议和管理冲突,显著改善 (所有p < 0.001).
- 住院人员表现出更好的能力来处理具有挑战性的患者反应,如拒绝或要求非指示治疗.
结论:
- 一个以妇产科医生为重点的严重疾病沟通课程是可行的和有效的.
- 该课程提高了居民的准备和舒适性,在传递困难的消息.
- 这种沟通技巧培训应该是妇产科医生实习教育的核心组成部分.
相关概念视频
Barriers to Effective Communication II
3.8K
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...
3.8K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
9.1K
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...
9.1K
SBAR I: Understanding the Concept
4.8K
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...
4.8K
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
Role of Communication in the Nursing Process III: Evaluation and Documentation
1.4K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.4K
Therapeutic Communication
5.5K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
5.5K


