The surgical resident experience in serious illness communication: A qualitative needs assessment with proposed solutions.
The surgical resident experience in serious illness communication: A qualitative needs assessment with proposed solutions.
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DOI：
10.1016/j.amjsurg.2021.09.013
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发表时间：
2021-12
影响因子：
3
通讯作者：
Cook, Allyson C.
中科院分区：
文献类型：
--
作者：
Lin, Joseph A.;Im, Cecilia J.;O'Sullivan, Patricia;Kirkwood, Kimberly S.;Cook, Allyson C.
严重疾病沟通技能是外科医生的重要工具，但住院医师培训有限。一个学术中心的13名资深外科住院医生接受了采访，了解他们在严重疾病沟通方面的经历。传统的内容分析是利用已建立的交流框架和主题的归纳开发进行的。居民们经常交谈，并采用了已知的沟通策略。三个主题突显了他们面临的挑战。疾病严重性包括与疾病有关的因素，这些因素使严重疾病的沟通更具挑战性：症状、预后不良和紧迫性。知识和感受包括居民、患者和家属对事实的理解和情感体验。学术结构包括层级结构和住院医生作为学习者和教师的双重角色。经过反思，住院医生发现需要更多的体验式练习，类似于学习程序技能。外科住院医师经常面临严重疾病的对话，除了观察榜样之外，几乎没有接受过培训。专门的培训可能有助于满足这一需求。
Serious illness communication skills are important tools for surgeons, but training in residency is limited. Thirteen senior surgical residents at an academic center were interviewed about their experiences with serious illness communication. Conventional content analysis was performed using established communication frameworks and inductive development of themes. Residents had frequent conversations and employed known communication strategies. Three themes highlighted challenges they face. Illness severity included factors attributed to the illness that made serious illness communication more challenging: symptoms, poor prognosis, and urgency. Knowledge and feelings included the factual understanding and emotional experience of residents, patients, and families. Academic structure included hierarchy and the residents’ dual role as learners and teachers. On reflection, residents identified needing greater experiential practice, analogous to learning procedural skills. Surgical residents regularly face serious illness conversations with little training beyond observation of role models. Dedicated training may help meet this need.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
16.9
作者：
Taylor LJ;Nabozny MJ;Steffens NM;Tucholka JL;Brasel KJ;Johnson SK;Zelenski A;Rathouz PJ;Zhao Q;Kwekkeboom KL;Campbell TC;Schwarze ML
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影响因子：
9
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通讯作者：
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影响因子：
4.4
作者：
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通讯作者：
Osborn CY
影响因子：
4.7
作者：
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通讯作者：
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