医生对非正式咨询的经验和信仰
N L Keating1, A M Zaslavsky, J Z Ayanian
1Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass 02115, USA.
JAMA
|September 18, 1998
概括
医生通常使用非正式咨询,使用情况因专业和实践环境而异. 批准这种做法与对护理质量的感知改善有关.
科学领域:
- 医疗实践和医疗保健提供
- 医生沟通与协作 医生沟通与协作
背景情况:
- 医疗保健成本控制策略可能会改变医生对非正式咨询的依赖.
- 了解非正式咨询模式对于不断变化的医疗保健环境至关重要.
研究的目的:
- 调查医生对非正式咨询的使用模式.
- 探索医生对非正式咨询的信仰和态度.
主要方法:
- 1997年7月,向多样化的马萨诸塞州医生样本分发了一项调查.
- 从705名符合条件的内科,儿科,心脏病学,骨科手术和传染病的医生收集了数据.
- 分析了关于非正式咨询的频率和感知价值的自我报告数据.
主要成果:
- 一般医生比专家更多地参与非正式的咨询.
- 团队实践中的医生和那些基于资本收入的医生报告了非正式咨询的更高率.
- 医生对非正式咨询的认可与他们对非正式咨询对患者护理质量影响的信念有很强的相关性.
结论:
- 非正式咨询很普遍,受专业,实践环境和支付模式的影响.
- 向集体实践和管理护理的趋势可能会增加非正式咨询的使用.
- 医生应该仔细考虑非正式咨询对质量的影响.
相关概念视频
Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Patient-centered Care
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...
Methods of Documentation III: PIE
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Ethics and Bioethics
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
Ethical Issues
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:
Ethical Dilemmas II
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:


