丹麦GP实习生的经验导航患者对非指示程序或测试的期望:一个定性面试研究
Anna Dines Hansen1, John Brandt Brodersen2,3, Alexandra Brandt Ryborg Jønsson3,4
1Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Scandinavian journal of primary health care
|December 17, 2025
概括
丹麦的通用医疗实习生面临着患者期望和不确定性的压力,有时会导致防御医学. 培养自信和沟通技巧有助于有效地应对这些挑战.
科学领域:
- 医学教育 医学教育
- 一般的做法一般的做法
- 定性研究是指质量研究.
背景情况:
- 患者对非适用程序或测试的要求在一般实践中带来了挑战.
- 由于各种因素,实习医生可能会因为各种因素而受到防御性练习的压力.
研究的目的:
- 探索一般医疗实习生如何导航患者的期望和对非指示程序或测试的要求.
- 识别可能会迫使学员进行防守练习的因素.
主要方法:
- 在丹麦,对13名全科医生实习生进行了定性面试研究.
- 用NVivo软件进行主题分析分析的数据.
主要成果:
- 实习生报告了与自我怀疑,患者期望和外部因素相关的挑战.
- 患者的期望,担忧和对有形证据的渴望影响了决策.
- 由于临床价值和压力环境,有时会采用防御性做法.
结论:
- 不确定性,患者的期望和外部情况可能会迫使丹麦的全科医生从事防御性实践.
- 对实习生和患者来说,管理不确定性是一个关键的挑战.
- 需要进一步研究支持和教育实习生管理不确定性和患者期望.
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