癌症背景下医学生样本中的移情交流和内隐偏见。

IF 3 3区 医学 Q1 COMMUNICATION Health Communication Pub Date : 2024-11-01 Epub Date: 2023-10-31 DOI:10.1080/10410236.2023.2272359
Tara K Torres, Heidi A Hamann, Megan J Shen, Jeff Stone
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引用次数: 0

摘要

肿瘤学临床医生经常错过与患者交流同理心的机会。目前的研究考察了内隐偏见(基于癌症类型和种族)与医学生在面对被诊断为癌症西班牙裔(肺癌或结直肠癌)个体的标准化患者时的移情交流之间的关系。参与者(101名医学生)完成了内隐关联测试(IAT),以测量基于癌症类型(肺癌与结直肠癌)和种族(西班牙裔与非西班牙族白人)的内隐偏见。移情机会和反应(由移情通信编码系统;ECCS评估)在模拟咨询(目标结构化临床检查;欧安组织)中进行评估,重点是癌症背景下的戒烟。在101次遭遇中发现的241次移情机会中(M = 2.4),158人(65.6%)获得了来自医学生的高度移情反应。与进步(45.9%)机会相比,在挑战(73.2%)和情绪(77.3%)机会中最常使用高移情反应。对西班牙裔的隐性偏见水平越高,医学生产生移情反应的几率就越低(OR = 3.24,p = .04,95%CI = 0.09-0.95)。需要进一步的工作来理解内隐偏见和移情沟通之间的关系,并为干预措施的发展提供信息。
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Empathic Communication and Implicit Bias in the Context of Cancer Among a Medical Student Sample.

Oncology clinicians often miss opportunities to communicate empathy to patients. The current study examined the relationship between implicit bias (based on cancer type and ethnicity) and medical students' empathic communication in encounters with standardized patients who presented as Hispanic (lung or colorectal) individuals diagnosed with cancer. Participants (101 medical students) completed the Implicit Association Test (IAT) to measure implicit bias based on cancer type (lung v. colorectal) and ethnicity (Hispanic v. non-Hispanic White). Empathic opportunities and responses (assessed by the Empathic Communication Coding System; ECCS) were evaluated in a mock consultation (Objective Structured Clinical Examination; OSCE) focused on smoking cessation in the context of cancer. Among the 241 empathic opportunities identified across the 101 encounters (M = 2.4), 158 (65.6%) received high empathy responses from the medical students. High empathy responses were most frequently used during challenge (73.2%) and emotion (77.3%) opportunities compared to progress (45.9%) opportunities. Higher levels of implicit bias against Hispanics predicted lower odds of an empathic response from the medical student (OR = 3.24, p = .04, 95% CI = 0.09-0.95). Further work is needed to understand the relationship between implicit bias and empathic communication and inform the development of interventions.

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来源期刊
CiteScore
8.20
自引率
10.30%
发文量
184
期刊介绍: As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.
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