Nathan Susan, Fiore Laura L, Saunders Stephanie, Vilbrun-Bruno Pa-C Sandra O, Hinrichs Kate Lm, Ruopp Marcus D, Schwartz Andrea Wershof, Moye Jennifer
Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA.
Department of Medicine and Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
Gerontol Geriatr Educ. 2022 Apr-Jun;43(2):225-238. doi: 10.1080/02701960.2019.1665038. Epub 2019 Sep 9.
We implemented "My Life, My Story" as an educational activity for enhancing patient-centered care (PCC) competencies across health professions trainees. Four hundred and eighty-two stories were completed for patients (M age = 72.5, SD = 12.7) primarily in inpatient medical settings, by trainees from seven disciplines. Trainees spent approximately 2 hours on the assignment; 84% felt this was a good use of their time. A mixed method survey evaluated the effectiveness of the activity on enhancing PCC competencies using open ended questions and ratings on the Consultation and Relational Empathy (CARE) Measure adapted for this project. The assignment most influenced trainees' ability to understand the patient as a "whole person" along with other PCC competencies such as showing empathy, really listening, building knowledge of values and goals, and building relationships. In addition, trainees perceived the activity enhanced patient care and was a positive contrast to usual care.
我们开展了“我的生活，我的故事”活动，作为一项教育活动，以提高各卫生专业学员以患者为中心的护理（PCC）能力。来自七个学科的学员主要在住院医疗环境中为患者（年龄中位数 = 72.5，标准差 = 12.7）完成了482个故事。学员们在这项任务上花费了大约2小时；84%的人认为这很值得花时间。一项混合方法调查使用开放式问题以及针对该项目改编的咨询与关系同理心（CARE）量表评分，评估了该活动在提高PCC能力方面的有效性。这项任务对学员将患者理解为“完整的人”的能力以及其他PCC能力（如表达同理心、真正倾听、了解价值观和目标以及建立关系）影响最大。此外，学员们认为该活动改善了患者护理，与常规护理形成了积极对比。
