临床医生在美国学术初级保健诊所内嵌入的DBT知情咨询小组中的经验:一种定性研究
Nicole M Gier1, Rachel R Maurer2, Joyce W Tang3
1Department of Medicine, The University of Chicago, Chicago, Illinois, USA.
BMJ open
|October 27, 2025
概括
在初级保健中整合的辩证行为疗法 (DBT) 咨询小组提高了临床医生的福祉和团队动态. 这种方法促进了自我同情,并通过支持跨专业团队来改善患者护理.
科学领域:
- 医疗保健管理的管理
- 临床心理学 临床心理学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 传统的健康计划缺乏团队整合,并专注于个人临床医生支持.
- 一种新的方法,复杂护理轮 (CCR),是在初级保健环境中使用辩证行为疗法 (DBT) 原则开发的.
- CCR旨在改善专业间的沟通,临床医生的动机和复杂病例的患者护理.
研究的目的:
- 探索临床医生的参与CCR的观点.
- 开发一个概念模型,解释CCR对个人临床医生和团队动态的影响.
- 评估综合,以团队为基础的健康干预措施的有效性.
主要方法:
- 使用参与者的反思性文章进行定性研究设计.
- 模板分析是一种主题分析形式,用于确定关键主题.
- 参与者包括一个跨专业初级保健团队的19名成员和实习生.
主要成果:
- CCR培养了基于DBT的共享团队框架,促进临床医生之间的自我同情.
- 一个有效的团队环境出现了,增强了专业间的支持和沟通.
- 观察到患者护理的改善,这是由于临床医生的能力增加和结构化的团队互动.
结论:
- 在临床实践中嵌入的DBT知情咨询小组可以在跨专业团队中培养相互支持和自我照顾的文化.
- 这种模式提高了临床医生的技能和能力,以管理复杂的患者需求.
- 综合健康计划在改善临床医生福祉和患者结果方面是有效的.
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