文章基本信息

标题：Frequency of medical students' language expressing implicit uncertainty in simulated handovers
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作者：Julia Gärtner ; Sarah Prediger ; Pascal O. Berberat 等
期刊名称：International Journal of Medical Education
电子版ISSN：2042-6372
出版年度：2022
卷号：13
页码：28-34
DOI：10.5116/ijme.61e6.cde0
语种：English
出版社：IJME
摘要：Objectives The aim of this study was to investigate the number and type of implicit expressions of uncertainty by medical students during simulated patient handovers. Methods Eighty-seven volunteer medical students, a convenience sample collected on a first-come, first-served basis, participated in simulated handovers. They each worked with three simulated patients who presented with different chief complaints and personal conditions. The handovers were video recorded and transcribed. A framework of implicit expressions of uncertainty was used to identify and count modifiers that attenuate or strengthen medical information using MAXQDA lexical search. We analysed the findings with respect to the patients' contexts. Results Implicit uncertainty expressions which attenuate or strengthen information occurred in almost equal frequency, 1879 (55%) versus 1505 (45%). Attenuators were found most frequently in the category 'Questionable', 1041 (55.4%), strengtheners in the category 'Focused', 1031 (68.5%). Most attenuators and strengtheners were found in the handover of two patients with challenging personal conditions ('angry man', 434 (23.1%) versus 323 (21.5%); 'unfocused woman', 354 (19.4%) versus 322 (21.4%)) and one patient with abnormal laboratory findings ('elevated creatinine', 379 (20.2%) versus 285 (18.9%)). Conclusions Medical students use a variety of implicit expressions of uncertainty in simulated handovers. These findings provide an opportunity for medical educators to design communication courses that raise students' awareness for content-dependent implicit expressions of uncertainty and provide strategies to communicate uncertainty explicitly.
关键词：enClinical reasoningcommunicationhandoverlanguageuncertaintyGermany