新获得资格的医生如何看待医疗培训和实践中的同理心?

S. Agius, Jeremy M. Brown, E. Stratta, J. Hayden, P. Baker
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引用次数: 2

摘要

目的:有证据表明,在医疗培训期间,共情能力明显下降,这可能不利于患者护理。本定性研究探讨了一组新资格的基础医生在医疗培训和实践中关于移情的思考。方法:邀请参加英国基础培训项目的医生对医学培训和实践中的共情问题进行反思。研究人员获得同意访问他们的匿名反思陈述,并使用框架分析分析反复出现的主题。结果:对65名学员的反思性陈述进行编码,确定了两个主题类别:(i)对移情患者护理的准备和(ii)移情的治疗效果。结论:受训者意识到共情作为一种治疗工具的价值。许多人本能地使用它,但没有系统地使用它。临床压力会对患者和亲属的共情处理产生负面影响。有针对性的教育干预和积极的角色塑造可以帮助基金会医生提高他们以患者为中心的护理技能。
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How do newly-qualified doctors perceive empathy in medical trainingand practice?
Objective: Evidence exists of an apparent decline in empathy during medical training which may be detrimental to patient care. This qualitative study explores the reflections of a group of newly-qualified foundation doctors with regard to empathy in medical training and practice. Methods: Doctors in a UK Foundation Training Programme were invited to reflect on the subject of empathy in medical training and practice. Researchers obtained consent to access their anonymous reflective statements and analyze for recurring themes using framework analysis. Results: Coding of 65 trainees’ reflective statements resulted in identification of two thematic categories: (i) preparedness for empathic patient care and (ii) therapeutic effect of empathy. Conclusions: Trainees are aware of the value of empathy as a therapeutic tool. Many use it instinctively but not systematically. Clinical pressures can impact negatively on empathic dealings with patients and relatives. Targeted educational interventions and positive role modeling may assist foundation doctors enhance their skills in patient-centered care.
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