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教授和评估坏消息告知:一项针对医学生教学干预的前后评估研究以及对不同测量工具和评分者的比较分析。

Teaching and evaluating breaking bad news: a pre-post evaluation study of a teaching intervention for medical students and a comparative analysis of different measurement instruments and raters.

机构信息

Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Germany.

出版信息

Patient Educ Couns. 2012 Feb;86(2):210-9. doi: 10.1016/j.pec.2011.04.022. Epub 2011 May 14.

DOI:10.1016/j.pec.2011.04.022
PMID:21571487
Abstract

OBJECTIVE

To investigate changes of different domains of breaking bad news (bbn) competences after a teaching module for medical students, and to collage the results generated by different approaches of evaluation.

METHODS

Rating of medical student-SP interactions by means of a global rating scale and a detailed checklist used by SPs and independent raters.

RESULTS

Students improved their breaking bad news competency. However, the changes vary between the different domains of bbn competency. In addition, results generated by different evaluation instruments differ.

CONCLUSION

This study serves as a stimulus for further research on the training of specific elements of bbn and different approaches of evaluating bbn competency.

PRACTICE IMPLICATIONS

In light of the different facets of bbn competency, it is important to set priorities regarding the teaching aims and to provide a consistent approach.

摘要

目的

探讨医学专业学生在接受教学模块后,在不良消息告知(bbn)能力的不同领域的变化,并综合不同评估方法得出的结果。

方法

通过使用由 SP 和独立评估员使用的总体评估量表和详细检查表来评估医学生与 SP 的互动。

结果

学生提高了他们不良消息告知的能力。然而,不同 bbn 能力领域的变化有所不同。此外,不同评估工具生成的结果也存在差异。

结论

本研究为进一步研究 bbn 的特定元素培训和不同评估 bbn 能力的方法提供了动力。

实践意义

鉴于 bbn 能力的不同方面,重要的是要确定教学目标的优先级,并采用一致的方法。

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