评估替代者对患者临床情况的理解的差异
Kristen E Pecanac1, Blair P Golden2
1School of Nursing and.
ATS scholar
|August 20, 2025
概括
临床医生问代孕妇"发生了什么"或"你理解了什么"比其他问题更好地了解患者的整体临床情况. 这有助于共同决策.
科学领域:
- 医疗沟通
- 临床决策
- 患者与代孕者的互动
背景情况:
- 评估代理理解对于有效的共享决策和沟通技能培训至关重要.
- 目前在临床环境中评估代孕理解的最佳实践尚不清楚.
- 替代性理解和观点共享对于患者护理至关重要.
研究的目的:
- 确定临床医生使用的问题类型来衡量替代者对患者的临床状况的理解.
- 分析代孕对不同的临床咨询策略的反应.
- 为与代孕妇互动的临床医生提供沟通技能培训.
主要方法:
- 使用对话分析对27个录制的临床医生与代孕者的对话进行定性分析.
- 专注于临床医生明确询问代孕理解的10次对话.
- 对各种临床问题的反应模式的检查.
主要成果:
- 不同的临床医生对患者的理解作出了不同的替代反应.
- 像"你听说过什么"这样的问题,
- 像"发生了什么"或"你理解什么"这样的问题,
结论:
- 临床医生问题的措辞显著影响了代孕理解的深度和类型.
- 特定的询问策略可以带来更全面的替代见解.
- 需要进一步研究这些沟通策略对培训发展的实际影响和替代视角.
相关概念视频
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
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
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.7K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.7K
Assessment of the Cardiovascular System I: Subjective Data
467
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
467
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
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
9.0K
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...
9.0K


