在线阅读:通过主题和叙事分析评估本科医学教育的共享决策课程
Jamie Burke1, Mark J Kissler2, Anthony Q Nguyen2
1Department of Medicine, University of Minnesota, Minneapolis, MN, United States.
概括
医学院的学生 医学院的学生
科学领域:
- 医学教育 医学教育
- 以患者为中心的护理
- 定性研究是指质量研究.
背景情况:
- 共享决策 (SDM) 是以患者为中心的护理的基础.
- 有效的SDM需要强有力的沟通,同情和尊重患者的自主权.
研究的目的:
- 探索医学学生的经验与共享决策 (SDM) 课程.
- 评估学生在SDM中与患者观点的参与.
主要方法:
- 为医学学生提供 SDM 课程的纵向综合职业培训.
- 对学生对患者SDM遭遇的书面反思进行主题和叙事分析.
- 使用了解释性现象学分析和结构叙事分析.
主要成果:
- 出现了四个主要主题:沟通,患者自主,同理心和专业身份形成.
- 叙事分析揭示了背景细节,视角和批判性反思的不同深度.
- 深度反思分享了SDM至关重要的叙事元素,如框架,注意线索和多个视角.
结论:
- SDM是复杂的,整合了沟通,同情和自主.
- 在SDM课程中与患者的角度进行接触,可以提高学生的成绩.
- SDM培训可以在未来的医生中培养人文主义的方法.
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