Fujihara Manabu, Watanabe Satoko, Kodama Kuniko, Nakamura Koki, Stanyon Maham, Kanke Satoshi, Kassai Ryuki
Department of Community and Family Medicine Fukushima Medical University School of Medicine Fukushima City Fukushima Japan.
Kashima Hospital Iwaki City Fukushima Japan.
J Gen Fam Med. 2024 Sep 19;26(1):27-36. doi: 10.1002/jgf2.730. eCollection 2025 Jan.
The Patient-Centered Clinical Method (PCCM) plays an important role in family doctors' ability to communicate effectively with patients. Although the parenting experiences of healthcare providers can be utilized to communicate with patients, it is unclear how they contribute to family doctors' practice.
A qualitative descriptive study focusing on the parenting experiences of Japanese family doctors and their perceptions of how these experiences interfaced with their clinical practice of the PCCM was conducted. Participants were selected using snowball sampling, and the data were collected via semi-structured interviews while recording online, which were transcribed verbatim and analyzed using qualitative descriptive analysis, with data-derived codes being systematically applied and reflexively interpreted. The categories were refined concurrently with the interviews. Once it was established that no additional categories were required, the recruitment and analysis process was concluded.
The eight participants were recruited, and the following themes were extracted; these were "Developing patience and new perspectives through raising children," "Empathizing with the experiences of others," "Building awareness of social factors and home context," "Reflecting on one's own words and behavior," "Forming partnerships with patients through shared parenting experiences," and "Facilitating interpersonal growth."
The communication skills that have been refined through personal experiences of raising children are transferable between professional and family situations. This research shows that such skills are not mutually exclusive to professional or family settings and can be used effectively to improve clinical practice as part of the PCCM model of consulting.
以患者为中心的临床方法（PCCM）在家庭医生与患者有效沟通的能力中起着重要作用。尽管医疗服务提供者的育儿经历可用于与患者沟通，但尚不清楚这些经历如何促进家庭医生的实践。
开展了一项定性描述性研究，重点关注日本家庭医生的育儿经历以及他们对这些经历如何与PCCM临床实践相结合的看法。采用滚雪球抽样法选取参与者，通过半结构化访谈在线记录数据，逐字转录并使用定性描述性分析进行分析，对数据衍生的代码进行系统应用和反思性解释。类别在访谈过程中同步完善。一旦确定不需要额外的类别，就结束招募和分析过程。
招募了8名参与者，提取了以下主题；分别是“通过养育孩子培养耐心和新视角”、“同情他人的经历”、“增强对社会因素和家庭背景的认识”、“反思自己的言语和行为”、“通过共同的育儿经历与患者建立伙伴关系”以及“促进人际成长”。
通过养育孩子的个人经历磨练出的沟通技巧可在职业和家庭情境之间转换。本研究表明，此类技巧并非职业或家庭环境所独有，可作为PCCM咨询模式的一部分有效地用于改善临床实践。
