确定医生在日常临床实践中对同情护理的看法:比利时的一项多中心Q方法研究
Fleur Helewaut1, Dominique Benoit2, Peter Pype3
1Clinical Skills Training Centre, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Flanders, Belgium fleur.helewaut@ugent.be.
BMJ open
|October 8, 2025
概括
医生对同情护理有不同的看法,专注于任务,系统或关系. 了解这些观点是改善不同医疗专业和环境患者护理和满意度的关键.
科学领域:
- 医学伦理 医学伦理
- 医疗保健管理的管理
- 以患者为中心的护理
背景情况:
- 富有同情心的护理超越了临床治疗范围,包括心理和社会福祉.
- 医生对同情护理的看法可能因专业和实践环境而异.
- 了解这些不同的观点对于改善患者体验和结果至关重要.
研究的目的:
- 识别和区分医生在日常临床实践中对同情护理的看法.
- 探索专业和环境如何影响对同情护理的看法.
- 为改善同情心培训和患者满意度提供见解.
主要方法:
- 采用了Q方法研究,结合了定性和定量分析.
- 来自各个专业的29名医生参与了调查,对53个关于同情护理的陈述进行了排名.
- 主要组件分析和手动旋转确定了不同的医生观点.
主要成果:
- 出现了三个主要观点:以任务为导向 (临床专业知识,沟通),以系统为导向 (信任,自我反思,环境) 和以关系为导向 (积极倾听,患者参与).
- 医生的专业和工作环境与他们对同情护理的主导观点有关.
- 面向任务的医生经常在急性/技术环境中工作;面向系统的儿科/心理健康;面向与瘤学/慢性疾病患者的关系.
结论:
- 医生对同情护理的看法是多方面的,并受到他们的临床环境的影响.
- 认识到这些不同的观点可以为定制的同情心培训计划提供信息.
- 更深入地了解医生的观点,可以改善患者的护理,满意度和幸福感.
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