评估一年级住院医师对共同决策的态度。
Evaluating attitudes of first-year residents to shared decision making.
机构信息
Department of Psychiatry, University of California at Davis, Davis, California USA.
出版信息
Med Educ Online. 2008 Jul 10;13:10. doi: 10.3885/meo.2008.Res00276.
OBJECTIVE
Shared decision making (SDM) is recognized as an ideal model of patient-physician interaction, yet clinical application occurs infrequently. The current study evaluated attitudes of first-year residents to identify potential barriers and opportunities regarding SDM.
METHODS
A total of 70 residents attending orientation at the University of Utah completed a questionnaire that elicited their understanding of SDM, perceptions about the importance of SDM, confidence in utilizing SDM, and reasons for lacking confidence.
RESULTS
Most residents reported no prior SDM education (N = 42, 60%) or training (N = 46, 66%), yet 67 (96%) of them could recognize it in a clinical vignette. Using a Likert scale, the majority of residents (91% to 99%) attributed importance to SDM principles, and most (79% to 90%) indicated confidence in applying them. Lack of training was reported as a barrier by 40 (57%) residents.
CONCLUSIONS
A minority of residents reported formal education or training in SDM, yet the vast majority recognized and valued the model. A large percentage of residents expressed confidence in their abilities to incorporate SDM into patient care, but many also identified a need for more education and training.
目的
共同决策（SDM）被认为是医患互动的理想模式，但临床应用却很少。本研究评估了一年级住院医师的态度，以确定有关 SDM 的潜在障碍和机会。
方法
在犹他大学参加迎新会的 70 名住院医师完成了一份问卷，该问卷询问了他们对 SDM 的理解、对 SDM 重要性的看法、对使用 SDM 的信心以及缺乏信心的原因。
结果
大多数住院医师报告说没有接受过 SDM 教育（N = 42，60%）或培训（N = 46，66%），但他们中的 67 人（96%）可以在临床病例中识别 SDM。大多数住院医师（91%至 99%）使用李克特量表表示 SDM 原则很重要，大多数（79%至 90%）表示有信心应用这些原则。40 名（57%）住院医师报告培训不足是一个障碍。
结论
少数住院医师报告接受过 SDM 的正规教育或培训，但绝大多数人都认识到并重视该模式。很大一部分住院医师表示对自己将 SDM 融入患者护理的能力有信心，但许多人也认为需要更多的教育和培训。
Zotero 插件