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一项探索兽医医学教育中沟通技巧的定性研究。

A qualitative study to explore communication skills in veterinary medical education.

作者信息

Hamood Wendy J, Chur-Hansen Anna, McArthur Michelle L

机构信息

School of Animal and Veterinary Science, University of Adelaide, Roseworthy Campus, Roseworthy, South Australia.

School of Psychology, University of Adelaide, South Australia.

出版信息

Int J Med Educ. 2014 Oct 11;5:193-8. doi: 10.5116/ijme.542a.975d.

Abstract

OBJECTIVE

To explore and gain an understanding of what "clinical communication skills" mean to veterinarians working in private practice and what implications this might have for veterinary medical education.

METHODS

Qualitative research methods were used to purposefully sample a range of veterinary practitioners from a pool of South Australian veterinary practices who were interviewed to determine their understanding of what communication skills mean in the context of veterinary practice. Interviews were conducted with fourteen veterinary practitioners. Participants were sampled from a range of ages, veterinary schools of graduation plus urban and rural locations. Interview transcripts were analysed for themes, definitions and contexts.

RESULTS

Participants' accounts included a number of skills which they considered to be "communication". Some of the definitions of these skills parallel communication skills and competencies for human medicine on which communication skills training incorporated into veterinary curricula to date have largely been based. However, the veterinarians in this study also raised interesting contextual differences unique to the veterinary profession, such as communication with the animal, selling service, discussing money in relation to decisions for care, and communicating about euthanasia.

CONCLUSIONS

Veterinary practitioners require high level communication skills. Education and training in veterinary medicine may be better tailored to reflect the unique context of the veterinary profession.

摘要

目的

探讨并了解“临床沟通技巧”对从事私人执业的兽医而言意味着什么,以及这可能对兽医医学教育产生何种影响。

方法

采用定性研究方法,从南澳大利亚州的一系列兽医诊所中,有目的地抽取了一批兽医从业者进行访谈,以确定他们对兽医实践中沟通技巧含义的理解。对14名兽医从业者进行了访谈。参与者来自不同年龄、毕业于不同兽医学院,涵盖城市和农村地区。对访谈记录进行主题、定义和背景分析。

结果

参与者提到了一些他们认为属于“沟通”范畴的技能。这些技能的部分定义与人类医学的沟通技能和能力相类似,迄今为止纳入兽医课程的沟通技能培训很大程度上基于这些人类医学的沟通技能和能力。然而,本研究中的兽医还提出了兽医行业特有的有趣背景差异,例如与动物沟通、推销服务、在护理决策中讨论费用以及关于安乐死的沟通。

结论

兽医从业者需要高水平的沟通技能。兽医医学的教育和培训可能需要更好地调整,以反映兽医行业的独特背景。

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