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研究生医学培训中的同理心困境

The Empathy Quandary in Postgraduate Medical Training.

作者信息

Bhagat Purvi Raj, Kinjal Y Trivedi, Vijay Rajput

机构信息

Department of Ophthalmology, M and J Western Regional Institute of Ophthalmology, B. J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.

Department of Medical Education, Nova Southeastern University, Dr. Kiran C. Patel College of Allopathic Medicine, Florida, United States.

出版信息

Int J Appl Basic Med Res. 2024 Oct-Dec;14(4):233-238. doi: 10.4103/ijabmr.ijabmr_288_24. Epub 2024 Nov 1.

DOI:10.4103/ijabmr.ijabmr_288_24
PMID:39749171
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11691101/
Abstract

BACKGROUND

Empathy stands as a cornerstone of humanistic qualities and is essential in healthcare for understanding and alleviating emotional suffering. Despite its necessity, formal empathy training remains elusive in postgraduate medical education across the globe, contributing to decline of humanistic practice among trainees. This study aims to assess and establish the need for empathy training by evaluating the perspectives of postgraduate trainees and faculty.

MATERIALS AND METHODS

The study was conducted in a medical college of western India in 2023. Three online validated questionnaires were used to assess empathy-related perceptions among faculty and postgraduate trainees across various specialties. The questionnaires focused on demographic data, importance of empathy in patient care, empathy training, perceived levels of empathy, reasons for shortfalls in empathetic behavior and recommendations for nurturing empathy. Data were analyzed quantitatively and thematically.

RESULTS

A total of 150 and 127 responses were gathered and analyzed from faculty and trainees, respectively. Excessive workload, lack of formal training, and technology-dependent fast paced lifestyle were attributed for lack of empathy in clinical care. All the faculty agreed that empathy training is essential and majority (67%) believed that lack of empathetic behavior led to dissatisfaction among patients and caregivers.

CONCLUSION

Empathetic communication and behaviors are fundamental competencies for health-care professionals. There is need for a structured training for empathy in postgraduate medical curriculum.

摘要

背景

同理心是人文素质的基石,在医疗保健中对于理解和减轻患者的情感痛苦至关重要。尽管其很有必要,但在全球范围内的研究生医学教育中,正式的同理心培训仍然难以实现,这导致实习医生的人文实践有所减少。本研究旨在通过评估研究生实习医生和教师的观点来评估并确定同理心培训的必要性。

材料与方法

该研究于2023年在印度西部的一所医学院进行。使用了三份经过在线验证的问卷来评估不同专业的教师和研究生实习医生对同理心的相关认知。问卷聚焦于人口统计学数据、同理心在患者护理中的重要性、同理心培训、同理心的感知水平、同理心行为不足的原因以及培养同理心的建议。对数据进行了定量和主题分析。

结果

分别从教师和实习医生那里收集并分析了150份和127份回复。临床护理中缺乏同理心被归因于工作量过大、缺乏正规培训以及依赖技术的快节奏生活方式。所有教师都认为同理心培训至关重要,且大多数人(67%)认为缺乏同理心行为会导致患者和护理人员不满。

结论

同理心沟通和行为是医护专业人员的基本能力。研究生医学课程需要进行结构化的同理心培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16de/11691101/d83972148587/IJABMR-14-233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16de/11691101/1494293a3e33/IJABMR-14-233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16de/11691101/d83972148587/IJABMR-14-233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16de/11691101/1494293a3e33/IJABMR-14-233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16de/11691101/d83972148587/IJABMR-14-233-g002.jpg

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Front Psychiatry. 2023 Nov 24;14:1249620. doi: 10.3389/fpsyt.2023.1249620. eCollection 2023.
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Empathy ability of nursing students: A systematic review and meta-analysis.护理专业学生的同理心能力:系统评价和荟萃分析。
Medicine (Baltimore). 2022 Aug 12;101(32):e30017. doi: 10.1097/MD.0000000000030017.
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A Systematic Review of Educational Interventions and Their Impact on Empathy and Compassion of Undergraduate Medical Students.
本科医学生教育干预及其对同理心和同情心影响的系统评价
Front Med (Lausanne). 2021 Nov 8;8:758377. doi: 10.3389/fmed.2021.758377. eCollection 2021.
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Clinical empathy in GP-training: Experiences and needs among Dutch GP-trainees. "Empathy as an element of personal growth".全科医生培训中的临床同理心:荷兰全科医生培训生的经验和需求。“同理心作为个人成长的一个要素”。
Patient Educ Couns. 2021 Dec;104(12):3016-3022. doi: 10.1016/j.pec.2021.03.030. Epub 2021 Mar 31.
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Empathy training in health sciences: A systematic review.医学领域共情训练的系统评价
Nurse Educ Pract. 2020 Mar;44:102739. doi: 10.1016/j.nepr.2020.102739. Epub 2020 Mar 6.
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The orphan child: humanities in modern medical education.孤残儿童:现代医学教育中的人文关怀
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Defining Empathy to Better Teach, Measure, and Understand Its Impact.定义同理心,以更好地教授、衡量和理解其影响。
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More than visual literacy: art and the enhancement of tolerance for ambiguity and empathy.不止于视觉素养:艺术与对模糊性的容忍度及同理心的增强
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