一项质性描述性研究,探讨儿童抚养经验对日本家庭医生的影响。

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL Journal of General and Family Medicine Pub Date : 2024-09-19 eCollection Date: 2025-01-01 DOI:10.1002/jgf2.730
Manabu Fujihara, Satoko Watanabe, Kuniko Kodama, Koki Nakamura, Maham Stanyon, Satoshi Kanke, Ryuki Kassai
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引用次数: 0

摘要

背景:以患者为中心的临床方法(PCCM)在家庭医生与患者有效沟通的能力中起着重要作用。虽然医疗保健提供者的育儿经验可以用来与患者沟通,但尚不清楚他们如何对家庭医生的实践做出贡献。方法:对日本家庭医生的育儿经历以及他们对这些经历与PCCM临床实践之间的关系的看法进行定性描述性研究。采用滚雪球抽样法选择参与者,通过在线记录的半结构化访谈方式收集数据,并逐字抄录,采用定性描述性分析进行分析,系统地应用数据衍生代码并进行反射性解释。这些分类是在面谈的同时加以改进的。一旦确定不需要增加职类,征聘和分析过程就结束了。结果:招募到8名受试者,提取出以下主题;它们分别是“通过抚养孩子培养耐心和新的视角”、“对他人的经历感同身受”、“建立对社会因素和家庭环境的认识”、“反思自己的言行”、“通过分享育儿经验与患者建立伙伴关系”和“促进人际关系的发展”。结论:通过个人养育孩子的经验而得到的沟通技巧是可以在职业和家庭环境中转移的。这项研究表明,这些技能并不排斥专业或家庭设置,可以有效地用于改善临床实践,作为咨询的PCCM模式的一部分。
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A qualitative descriptive study examining the impact of child-raising experience on Japanese family doctors.

Background: The Patient-Centered Clinical Method (PCCM) plays an important role in family doctors' ability to communicate effectively with patients. Although the parenting experiences of healthcare providers can be utilized to communicate with patients, it is unclear how they contribute to family doctors' practice.

Methods: A qualitative descriptive study focusing on the parenting experiences of Japanese family doctors and their perceptions of how these experiences interfaced with their clinical practice of the PCCM was conducted. Participants were selected using snowball sampling, and the data were collected via semi-structured interviews while recording online, which were transcribed verbatim and analyzed using qualitative descriptive analysis, with data-derived codes being systematically applied and reflexively interpreted. The categories were refined concurrently with the interviews. Once it was established that no additional categories were required, the recruitment and analysis process was concluded.

Results: The eight participants were recruited, and the following themes were extracted; these were "Developing patience and new perspectives through raising children," "Empathizing with the experiences of others," "Building awareness of social factors and home context," "Reflecting on one's own words and behavior," "Forming partnerships with patients through shared parenting experiences," and "Facilitating interpersonal growth."

Conclusion: The communication skills that have been refined through personal experiences of raising children are transferable between professional and family situations. This research shows that such skills are not mutually exclusive to professional or family settings and can be used effectively to improve clinical practice as part of the PCCM model of consulting.

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来源期刊
Journal of General and Family Medicine
Journal of General and Family Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.10
自引率
6.20%
发文量
79
审稿时长
48 weeks
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