Melinek M, Bluestone H, Steinmuller R
Gen Hosp Psychiatry. 1984 Jan;6(1):77-9. doi: 10.1016/0163-8343(84)90063-x.
In this preliminary study, the experimental presence of a consulting psychiatrist at medical rounds was instituted in a busy city hospital emergency room. The psychiatrist was instructed only to respond to questions on psychiatric topics. Students were asked to record data from the discussions which occurred both with and without the presence of the psychiatrist. Our results suggest that the passive, supportive presence of a psychiatrist during medical rounds in the E.R. had a significant impact upon medical staff sensitivity to psychological topics as measured by the time spent discussing issues of a related nature. Since the study is limited to the time of the recording, no long-term conclusions can be drawn. Our work does raise significant questions, however, about medical staff sensitization to psychosocial issues and the facilitating effect of the psychiatrist in the E.R. setting.
在这项初步研究中，一家繁忙的城市医院急诊室安排了一位咨询精神科医生参与医疗查房。该精神科医生仅被要求回答有关精神科主题的问题。学生们被要求记录在精神科医生在场和不在场的情况下所进行讨论的数据。我们的结果表明，在急诊室医疗查房期间，精神科医生被动、支持性的在场对医务人员对心理主题的敏感度产生了显著影响，这是通过讨论相关性质问题所花费的时间来衡量的。由于该研究仅限于记录期间，因此无法得出长期结论。然而，我们的工作确实引发了关于医务人员对心理社会问题的敏感度以及精神科医生在急诊室环境中的促进作用的重大问题。
