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首页> 外文期刊>The American journal of hospice and palliative care >The Hawthorne effect in the assessment of pain by house staff.
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The Hawthorne effect in the assessment of pain by house staff.

机译：内务人员在评估疼痛时的霍桑效应。

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摘要

Internal medicine residents are one component of the healthcare delivery team in the hospital setting. Their ability to assess and treat pain should be considered in quality improvement efforts. We surveyed our residents, using a 0 to 10 scale to determine how well they assessed their patients' level of pain. We then asked half of these residents to write down their patients' pain score as a fifth vital sign in the medical record. We repeated the house staff survey three weeks later. The residents improved their assessment as a whole, with the nonintervention group faring better on the follow-up surveys. We believe that the residents' improvement can be attributed to the Hawthorne effect, in which a group that is singled out for special study or consideration has its performance positively affected. The residents' ability to accurately rate patients with moderate and severe pain is still an area for further development. Improvements in our palliative care curriculum have been implemented to enhance ourresidents' education and performance in this area.
机译：内科住院医师是医院中医疗服务提供团队的组成部分之一。在质量改进工作中应考虑其评估和治疗疼痛的能力。我们使用0到10的量表对居民进行了调查，以确定他们对患者疼痛程度的评估程度。然后，我们要求这些居民中的一半写下患者的疼痛评分，作为病历中的第五个生命体征。三个星期后，我们重复了房屋工作人员调查。居民整体上改善了评估，不干预组在后续调查中表现更好。我们认为，居民的改善可以归因于霍桑效应，霍桑效应使那些专门研究或考虑的群体的表现受到积极影响。居民对中度和重度疼痛患者进行准确评分的能力仍然是一个需要进一步发展的领域。我们已对姑息治疗课程进行了改进，以增强居民在该领域的教育和表现。

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