专家建议与患者分享医疗信息:一个定性研究
Herman Egenberg1, Hanne Cathrine Lie2, Jennifer Gerwing3
1Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Blindern, P.O. Box 1111, 0317, Oslo, Norway. hermansen86@gmail.com.
有效地与病人分享医疗信息应该是对话, 而不是讲课. 专家建议临床医生应该帮助患者处理情绪,探索他们的观点,并为更好的理解和以患者为中心的护理量身定制信息.
科学领域:
- 医疗沟通
- 健康心理学
- 临床教育
背景情况:
- 患者为中心的护理依赖于有效的医疗信息共享,
- 临床医生通常不使用已建立的信息共享模式,导致患者的理解和记忆不佳.
研究的目的:
- 探讨专家关于优化与患者共享医疗信息的观点.
- 确定改善临床医生和患者信息交换的关键策略.
主要方法:
- 通过对来自6个国家的15名临床沟通专家进行半结构面试,进行了定性研究.
- 通过经验丰富的研究人员进行反思性主题分析来分析采访数据.
主要成果:
- 四个关键主题出现了:信息共享作为对话,而不是讲座.
- 临床医生应该帮助患者处理情绪,探索患者的知识和观点,并定制/构建信息.
- 确定了临床医生在信息共享方面面临的共同挑战和实际解决方案.
结论:
- 这些发现扩展了当前的患者沟通模式, 结合了心理学,医学和沟通科学的见解.
- 支持在以患者为中心的护理和共享决策中加强信息共享的作用.
- 为临床医生提供实用指导,并为医学沟通培训的课程制定提供信息.
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