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Internal medicine house officers' attitudes and experience with patients who overstep patientphysician boundaries

机译：内科医务人员对超越患者医师界限的患者的态度和经验

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摘要

Maintenance of appropriate social boundaries is an essential aspect of patient care. Given limited clinical experience, house officers may be especially vulnerable to such transgressions. We studied the frequency of patients' transgressions of boundaries and house officer responses to these transgressions. An online survey was administered to internal medicine house officers at the University of Michigan Health System that addressed the frequency of patientphysician boundary transgressions, house officer responses to transgressions, and the perceived need for education regarding transgressions. The frequency of reported patient transgressions of various boundaries during the past 6 months ranged from 0 to more than 30. The most common reported incident was being called by their first name, and the least common incidents included patients engaging/attempting to engage in sexual contact and attempting to give expensive gifts. Most respondents denied the need for education regarding appropriate boundaries with patients; however, most perceived a need for training on how to respond to transgressions. Overall, there was a wide range in reported frequencies of transgressions. The frequency of transgressions reported by house officers was greater than what is previously described for attending physicians though their responses to transgressions were similar.
机译：维持适当的社会界限是患者护理的重要方面。考虑到有限的临床经验，内务干事可能特别容易受到此类侵害。我们研究了患者越界的频率和房屋管理员对这些违法行为的反应。对密歇根大学卫生系统的内部医务室官员进行了一项在线调查，调查对象是医务人员越界犯罪的频率，室官对犯罪的反应以及对犯罪的教育需求。在过去的6个月中，报告的跨界患者侵害的频率从0到30多不等。报告的最常见事件以其名字称呼，而最不常见的事件包括从事/试图进行性接触的患者并尝试送出昂贵的礼物。大多数受访者否认有必要就患者的适当界限进行教育。但是，大多数人认为有必要对如何应对犯罪进行培训。总体而言，报告的犯罪频率范围很广。尽管他们对过错的反应相似，但内务人员报告的过错发生频率要比先前描述的主治医师要高。

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