在医学教育和临床实践中,情绪和临床推理:一个广泛的审查
概括
情绪显著影响医学中的临床推理. 负面情绪可能会导致错误,而积极的情绪和经验可以提高诊断准确性和患者护理.
科学领域:
- 医学教育 医学教育
- 临床心理学 临床心理学
- 医疗保健实践 医疗保健实践
背景情况:
- 临床推理是医疗实践的基石.
- 临床推理的认知方面得到了充分的研究.
- 情绪对临床推理的影响还没有得到充分的研究.
研究的目的:
- 绘制有关情绪对临床推理影响的现有文献.
- 检查情绪在医学教育和实践中的作用.
主要方法:
- 在Arksey和O'Malley的框架下进行了范围审查.
- 在MEDLINE,Embase,Web of Science和PsycInfo进行了搜索.
- 包括在医学培训中对情绪和临床推理的经验研究.
主要成果:
- 包括61项研究,主要强调负面情绪 (压力,恐惧,不确定性).
- 负面情绪与保守的方法,诊断错误和低于最佳的决策有关.
- 积极的情绪和经验支持了适应能力和诊断准确性.
结论:
- 情绪是临床推理的组成部分,积极塑造患者护理.
- 需要对情绪意识和调节进行教育干预.
- 未来的研究应该探索积极的情绪,干预和文化变化.
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