如何与患者建立信任关系|188体育直播比分Laerdal Medical

模拟可以帮助吗？

HCAHPS（医院消费者对医疗保健提供者和系统的评估）都在所有人的脑海中。低分数或高分会影响医院的可销售性及其报销率。患者与医疗保健提供者之间的关系至关重要。它也是患者将收到的最重要的护理决定因素之一。如果患者信任他们的提供者，他们更有可能对自己的症状诚实 - 这可能会带来更好的护理。¹

是什么使良好的患者体验？

患者同意，有一名医生或护士听他们，富有同情心和关怀，并且解释很好的是他们医疗保健中最重要的方面。²

With most doctors only being able to spend an average of 15 minutes with a patient, exactly他们如何建立这种信任？³每个患者都不同并且有不同的需求，因此哪些技能可以普遍帮助开放沟通？而且，最重要的是，如何在所有医疗保健学科中有效地教授和实践这些技能？

在本文中，我们解决了这些问题，并分享了模拟如何帮助促进信任建设技能的发展。

医疗保健提供者如何促进一个信任的环境？

In patients, high levels of trust have been associated with:⁴

对更好护理的看法

对推荐治疗的依从性更大

降低与治疗有关的焦虑

以下是可用于与患者建立信任的行为列表。But before reading, imagine two alternatives for instilling these behaviors in your staff: on the job training versus simulation training. Simulation has been proven to deliver training more consistently, more efficiently, and more safely than on the job training.

首先，建立良好的融洽关系

Rapport is not "one-size-fits-all" and it may come easier with some patients over others. It takes practice of interpersonal communication skills to learn how to start and maintain friendly conversation.一些简单的方法,建立关系,是问how a patient’s family is, where they attend school, what hobbies they have, or find some common ground.

管理非语言交流提示

沟通不仅是基于口头上所述的；相反，它包括如何解释医疗保健提供者的肢体语言。保持眼神交流，避免交叉的手臂或远离患者，并提供舒适的触摸可以使患者放松。

Listening actively and confirming a message received

积极倾听意味着聆听理解，而不是回应。在患者提供者的互动中，这可能意味着repeating what the patient said and confirming that it is what he or she meant.For patient’s with low health literacy, this can be particularly beneficial as they may not know how to communicate what they are feeling in the appropriate terms.

Showing empathy for what the patient is going through

Patients can be nervous, anxious, angry, and experiencing painful symptoms when they meet a healthcare professional.当医生和护士试图了解患者的观点和关注时，患者更欢迎分享其处境的详细细节。

如何使用模拟来训练这些互动

模拟通常被认为是教授医疗保健提供者动手临床程序和任务的最佳培训方法之一。然而，也可以使用模拟来教授与患者建立信任所需的许多技能。

使用标准化的患者，可以模仿情感和心理表现，是引入与聆听，观察和交流有关的技能的一种方法。但是，可以通过使用饱满的模拟器来进一步进行培训，该模拟器能够接受医疗干预措施。

Patients can become uncomfortable when things are being done "to them", especially when they don't understand the purpose or reason.Using a patient simulator can help healthcare providers to develop the necessary balance of providing explanations, keeping patients calm, and carefully performing clinical tasks at the same time.

This type of interactive training can foster strong communication habits that will lead to countless healthy and trusting patient-provider relationships.

How to Address Minority Health Disparities Through Simulation

种族和少数民族的健康差异反映了医疗保健中的隐性偏见。模拟可以帮助发展医疗保健专业人员的自我意识和文化能力。

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References

Holman, T. (2017). How to build patient trust to improve the doctor-patient relationship. Dignity Health. Retrieved from https://www.dignityhealth.org/articles/how-to-build-patient-trust-to-improve-the-doctor-patient-relationship
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Allinson，M。（2016）。如何建立和维持患者的信任。药物杂志。取自https://www.pharmaceutical-journal.com/eye-care/how-to-build-and-maint-maint-maint-trust-with-patients/20201862.Article?firstpass=false