全科医疗中的病例故事：一项焦点小组研究。
Case stories in general practice: a focus group study.
作者信息
Abildsnes Eirik, Flottorp Signe, Stensland Per
机构信息
Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway.
出版信息
BMJ Open. 2012 Aug 8;2(4). doi: 10.1136/bmjopen-2012-001208. Print 2012.
OBJECTIVES
To explore the interactive process of sharing case stories in small-group activity in general practice.
DESIGN
Qualitative focus group study.
SETTING
Peer-group meetings of doctors attending specialist training or continuous medical education in general practice.
PARTICIPANTS
Twenty female and 30 male doctors working in general practice in Norway.
RESULTS
The storyline of case presentations included detailed stories with emotional engagement, co-authored by other group members. The stories initiated discussions and reflections concerning patients' and doctors' perspectives, medical ethics as well as clinical problems. The safe atmosphere allowed testing out boundaries of socially shared knowledge.
CONCLUSIONS
Sharing case stories in small groups in general practice initiated interaction that facilitated meaning-making, reflection and peer support.
目的
探讨在全科医疗的小组活动中分享病例故事的互动过程。
设计
定性焦点小组研究。
背景
参加全科医疗专科培训或继续医学教育的医生的同行小组会议。
参与者
挪威从事全科医疗工作的20名女医生和30名男医生。
结果
病例报告的故事情节包括有情感投入的详细故事，由其他小组成员共同撰写。这些故事引发了关于患者和医生观点、医学伦理以及临床问题的讨论和思考。安全的氛围允许对社会共享知识的边界进行试探。
结论
在全科医疗中以小组形式分享病例故事引发了互动，促进了意义建构、反思和同伴支持。
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