住户的学习经验患者在急诊室的社会困难:定性研究
Junki Mizumoto1,2, Hirohisa Fujikawa1,3,4
1Center for General Medicine Education, School of Medicine, Keio University, Tokyo, Japan.
JMA journal
|November 12, 2025
概括
具有积极态度的医生在急诊室为面临社会挑战的患者提供以治疗为导向的护理. 解决工作场所冲突对于支持居民至关重要.
科学领域:
- 医学教育 医学教育
- 健康的社会决定因素
- 紧急医疗 紧急医疗
背景情况:
- 紧急诊所 (ED) 越来越多地管理患者,这些患者有复杂的社会需求,影响他们的健康.
- 了解居民的学习经验与健康的社会决定因素 (SDOH) 在EDs是优化护理至关重要的.
- 目前的教育策略需要加强,以将患者的社会背景纳入日常ED实践.
研究的目的:
- 探索急诊医疗的住院医生对社会困难有积极的态度如何接近ED的患者护理.
- 确定与患者的社会需求接触的住户的学习过程和成果.
- 了解居民在ED环境中处理SDOH时遇到的挑战和冲突.
主要方法:
- 使用深入的在线访谈对13名医生进行定性研究 (研究生1-7年).
- 在一家医院有大量具有复杂社会需求的患者的医院进行有目的的抽样.
- 使用框架方法分析面试数据的专题分析.
主要成果:
- 出现了三个核心主题:ED中的治疗护理,积极的学习经验以及冲突和解决方案.
- 参与者描述了在应对工作场所挑战的同时提供以患者为中心,以治疗为导向的护理.
- 住院人员强调了从解决患者复杂的社会环境中获得的学习机会.
结论:
- 对社会问题的积极态度的居民采取一种不判断的方法,并提供治疗护理.
- 这些居民通过这些具有挑战性的互动,积极促进他们的专业发展.
- 卫生专业教育专家必须解决工作场所冲突,以更好地支持居民管理SDOH.
相关概念视频
Data Collection I
7.8K
Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of...
7.8K
Empathy
10.0K
Some researchers suggest that altruism operates on empathy. Empathy is the capacity to understand another person’s perspective, to feel what he or she feels. An empathetic person makes an emotional connection with others and feels compelled to help (Batson, 1991). Empathy can be expressed in several ways, including cognitive, affective, and motor.
10.0K
Patient-centered Care
2.9K
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...
2.9K
Barriers to Effective Communication II
4.5K
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...
4.5K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Methods of Documentation VII: EMR
1.4K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.4K


