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紧急医生为严重疾病患者的危机对话指南的文化适应性和接受性:混合方法研究研究
Thidathit Prachanukool1,2,3, Thavinee Trinarongsakul3, Thapanawong Mitsungnern4
1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
一个危机对话指南是针对泰国紧急医生的文化调整. 经过调整的指南被超过88%的受访医生认为可以接受临床实践.
科学领域:
- 医学沟通 医学沟通
- 抚慰性护理是一项非常重要的护理.
- 紧急医疗 紧急医疗
背景情况:
- 紧急医生经常在医疗危机期间讨论拯救生命的干预措施.
- 有效的危机对话需要强有力的沟通和以患者为中心的方法.
研究的目的:
- 为泰国的急诊医生文化调整一本英语危机对话指南.
- 评估适应的指南在泰国急诊医生中是否可接受.
主要方法:
- 一项三阶段的混合方法研究,涉及翻译,使用修改后的Delphi方法进行文化适应,以及专家小组的共识.
- 调查了180名泰国急诊医生,使用5分利克特级别对指南的必要性进行了调查.
- 结合专家反和调查结果,完成泰国危机对话指南.
主要成果:
- 泰国危机对话指南通过语言和实践修改进行了调整,包括增加了一个"聚集决策者"的步骤.
- 98%的受访医生认为"总结护理目标"的步骤是最必要的.
- 超过88%的泰国急诊医生认为该指南在临床实践中可接受.
结论:
- 危机对话指南已经成功地在文化上适应在泰国临床使用.
- 适应的指南在泰国急诊医生中获得了很高的接受度,支持其融入实践.
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