当你真正需要帮助时,我会更关心你吗?临床紧迫性对医疗服务中同情心影响的实验测试。

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Alina Pavlova, Sarah-Jane Paine, Alana Cavadino, Anne O'Callaghan, Nathan S. Consedine
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引用次数: 0

摘要

目的:通过实验研究较紧急的病人是否比不那么紧急的病人更能引起医护人员的同情心:通过实验研究较紧急的病人是否比不那么紧急的病人更能引起医护人员的同情心,从而促进未来的研究和思考,解决医护人员同情心的系统性障碍:本研究是一项预先注册的在线研究,采用实验性、受试者内重复测量研究设计。本研究采用了两个临床小故事,系统地改变了患者陈述的紧迫性。方法:从奥特亚罗瓦/新西兰所有 20 个地区卫生局招募的医疗保健专业人员(医生、护士和专职医疗从业人员)按照平衡顺序完成两个小故事。结果显示,共有 939 名参与者完成了测试:共有 939 名参与者完成了小故事(20% 为医生,47% 为护士,33% 为专职医疗人员)。不出所料,参与者表示会更加关心和积极地帮助更紧急的病人。然而,更紧急的病人也被认为不那么困难,探索性分析表明,被认为困难的病人与较低的关怀和帮助动机有关,特别是对不那么紧急的病人:这是首次通过实验来检验病人就诊的紧迫性与医护人员同情心之间的关系。虽然紧迫性和困难之间的关系很复杂,但我们的研究结果与进化论的观点一致,即紧迫的痛苦会激发更大的同情心。整个系统对效率和紧迫性的追求可能会加剧这种 "偏差",必须解决这个问题,以确保在医疗保健中更公平地体现同情心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Do I care for you more when you really need help? An experimental test of the effect of clinical urgency on compassion in health care

Do I care for you more when you really need help? An experimental test of the effect of clinical urgency on compassion in health care

Objectives

To experimentally investigate whether more urgent patient presentations elicit greater compassion from health care professionals than less urgent, facilitating future research and thinking to address systemic barriers to compassion in health care.

Design

This is a pre-registered online study with an experimental, within-subjects repeated-measure study design. Two clinical vignettes that systematically varied the urgency of patient presentation were utilized. Both vignettes depicted a patient with difficult behaviours typically associated with lower compassion.

Methods

Health care professionals (doctors, nurses and allied health practitioners) recruited from all 20 District Health Boards across Aotearoa/New Zealand completed two vignettes in a counterbalanced order. Paired-sample t-tests were used to test the effect of the presentation urgency on indices of compassion.

Results

A total of 939 participants completed the vignettes (20% doctors, 47%, nurses and 33% allied health professionals). As expected, participants reported greater care and motivation to help the more urgent patient. However, the more urgent patient was also perceived as less difficult, and exploratory analyses showed that perceived patient difficulty was associated with lower caring and motivation to help, particularly in the less urgent patient.

Conclusions

This is the first work to experimentally test the relationship between the urgency of patient presentation and compassion in health care. Although the association between urgency and difficulty is complex, our findings are consonant with evolutionary views in which urgent distress elicits greater compassion. A system-wide orientation towards efficiency and urgency may exacerbate this ‘bias’ which must be addressed to ensure more equitable compassion in health care.

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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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