医学面试中的同情沟通模型
A L Suchman1, K Markakis, H B Beckman
1Primary Care Institute, Highland Hospital, Rochester, NY 14620, USA.
JAMA
|February 26, 1997
概括
医生经常错过患者的情绪线索,阻碍了同情的沟通. 识别和承认患者的情绪对于改善患者与医生的关系和临床技能至关重要.
科学领域:
- 医学沟通 医学沟通
- 定性研究是指质量研究.
- 患者与医生的关系
背景情况:
- 在医疗面试中,同情的沟通至关重要.
- 了解医生和患者的互动模式是有效护理的关键.
研究的目的:
- 在医疗环境中开发一种同情沟通模型.
- 在患者与医生的互动过程中识别与表达情绪相关的行为.
主要方法:
- 一项定性研究分析了11个成绩单和12个视频录像带的初级保健访问.
- 医生对患者情绪表达的反应被系统地审查并通过共识来分类.
主要成果:
- 患者很少直接表达情绪,往往提供微妙的线索.
- 医生经常未能承认患者的情绪,转向以症状为中心的讨论.
- 患者有时在最初被忽视时会升级情绪表达.
结论:
- 一个经验推导的模型强调了认识到和承认患者情绪的重要性.
- 关键的同情能力包括识别未表达的感受并验证它们.
- 缺乏医生的认可可能会对患者与医生的关系产生负面影响.
相关概念视频
Empathy
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.
Communication
Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
Within...
Within...
Therapeutic Communication
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
Barriers to Effective Communication II
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...


