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相关概念视频

In- and Out-Groups01:31

In- and Out-Groups

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People all belong to a gender, race, age, and social economic group. These groups provide a powerful source of our identity and self-esteem (Tajfel & Turner, 1979) and serve as our in-groups. An in-group is a group that we identify with or see ourselves as belonging to.
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The Sense of Self: Reflected Self-Appraisal and Social Comparison02:57

The Sense of Self: Reflected Self-Appraisal and Social Comparison

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According to Charles Cooley, we base our image on what we think other people see (Cooley 1902). We imagine how we must appear to others, then react to this speculation. We don certain clothes, prepare our hair in a particular manner, wear makeup, use cologne, and the like—all with the notion that our presentation of ourselves is going to affect how others perceive us. We expect a certain reaction, and, if lucky, we get the one we desire and feel good about it. But more than that, Cooley...
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Self-Presentation: Self-Monitoring and Self-Handicapping02:05

Self-Presentation: Self-Monitoring and Self-Handicapping

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People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
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Blind Procedures02:07

Blind Procedures

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Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
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Horney's Sociocultural Approach01:27

Horney's Sociocultural Approach

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Karen Horney's psychoanalytic theories emphasize the potential for self-realization and the importance of addressing social and cultural, rather than biological, factors in personality development. She challenged traditional Freudian views, particularly Freud's concept of "penis envy," which she argued stemmed from cultural influences rather than inherent biological differences. Horney believed that any sense of inferiority in women was a result of societal conditioning, such as...
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Patient-centered Care01:13

Patient-centered Care

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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...
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相关实验视频

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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患者的双重联系:寻找局外人,同时创造内部人士.

Patricia Satterstrom1, Fletcher Dementyev2, Maura Danehey1

  • 1Robert F. Wagner Graduate School of Public Service, New York University, 105 East 17th Street, New York, NY, 10003, USA.

Social science & medicine (1982)
|July 20, 2025
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概括

医疗保健团队中的患者合作伙伴面临边缘化,他们的贡献只有在与员工优先级一致时才会被接受. 真正以患者为中心的护理需要团队适应,而不是期望患者遵守.

关键词:
换一个团队,换一个团队.双重结合的 双重结合的长度定性研究是指长度定性研究.患者合作伙伴是患者的合作伙伴.

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科学领域:

  • 医疗保健管理的管理
  • 患者参与 患者参与
  • 组织行为 组织行为

背景情况:

  • 患者参与对于以患者为中心的医疗保健至关重要.
  • 患者合作伙伴经常被令牌化,限制了他们的影响.
  • 了解医疗保健团队中患者贡献动态至关重要.

研究的目的:

  • 探索影响多学科医疗保健变革团队患者贡献的微处理.
  • 检查医疗保健团队如何响应患者的贡献.
  • 发展关于患者和工作人员在实现以患者为中心的局限性理论.

主要方法:

  • 一个长达23个月的纵向诱导研究.
  • 将患者伙伴纳入三家门诊的多学科医疗保健变革团队.
  • 通过142次会议,观察,采访和档案数据收集数据.

主要成果:

  • 患者经常面临边缘化,角色的缩小和重新定义.
  • 与工作人员优先事项一致的贡献比挑战它们的贡献更容易被接受.
  • 患者出现了三条路径:授权退出,授权接受和团队重构为患者适应.

结论:

  • 医疗团队的善意互动可能会限制患者的贡献.
  • 实现以患者为中心的护理需要团队调整他们的思维方式和流程.
  • 需要进一步的研究来理解和克服以患者为中心的转型的局限性.