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榜样示范对实习医生临床共情能力的影响:一项定性研究。

The influence of role-modeling on clinical empathy of medical interns: A qualitative study.

作者信息

Ahmadian Yazdi Nahid, Bigdeli Shoaleh, Soltani Arabshahi Seyed Kamran, Ghaffarifar Saeideh

机构信息

Center For Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran.

Department of Medical Education, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Adv Med Educ Prof. 2019 Jan;7(1):35-41. doi: 10.30476/JAMP.2019.41043.

Abstract

INTRODUCTION

Clinical empathy ascertains the quality of doctor-patient relationship and entails beneficial outcomes for both parties. Role-modeling is a major factor in promoting clinical empathy skills of medical students. The present study attempted to explain the importance of role-modeling in clinical empathy of medical interns. It was also intended to obtain a better and more profound understanding of the subject based on the experiences of medical interns.

METHODS

In this qualitative conventional content analysis, semi-structured individual interviews were conducted with 14 medical interns and 6 clinical professors. The participants were selected by purposive sampling. All interviews were recorded, transcribed, and analyzed. Trustworthiness, credibility, and confirmability of the data were confirmed.

RESULTS

Data analysis led to the emergence of a theme called role-modeling, and two subcategories: "advertent role-modeling" and "inadvertent role-modeling". Advertent role-modeling included "influenced by the charismatic personality of professors", "critique of faculty members' communicative behaviors with patients", and "observation of the faculty members' performance". Inadvertent role-modeling included "crystallization of human values in communication behaviors" and "compliance with hierarchical behavior".

CONCLUSION

Role-modeling was the main theme of the present study. To improve clinical empathy skills, particular attention should be paid to role-modeling. Informing clinical professors and medical students on role-modeling, strengthening students' empathetic behaviors by role model professors, and recruitment of professors with strong communication skills are among the recommended strategies of this study.

摘要

引言

临床同理心决定医患关系的质量,对双方都有有益的结果。榜样示范是促进医学生临床同理心技能的一个主要因素。本研究试图解释榜样示范在医学实习生临床同理心中的重要性。它还旨在基于医学实习生的经历,对该主题有更深入、更深刻的理解。

方法

在这项定性的常规内容分析中,对14名医学实习生和6名临床教授进行了半结构化的个人访谈。参与者通过目的抽样选取。所有访谈都进行了录音、转录和分析。数据的可信度、可靠性和可证实性得到了确认。

结果

数据分析得出了一个名为“榜样示范”的主题,以及两个子类别:“有意的榜样示范”和“无意的榜样示范”。有意的榜样示范包括“受到教授魅力人格的影响”、“对教师与患者沟通行为的批评”以及“对教师表现的观察”。无意的榜样示范包括“沟通行为中人类价值观的体现”和“遵守等级行为”。

结论

榜样示范是本研究的主要主题。为提高临床同理心技能,应特别关注榜样示范。告知临床教授和医学生榜样示范的相关内容、通过榜样教授强化学生的同理心行为以及招聘具有较强沟通能力的教授是本研究推荐的策略。

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