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首页> 外文期刊>Swiss medical weekly: official journal of the Swiss Society of Infectious Diseases, the Swiss Society of Internal Medicine, the Swiss Society of Pneumology >'Explicitly implicit': examining the importance of physician nonverbal involvement during error disclosures
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'Explicitly implicit': examining the importance of physician nonverbal involvement during error disclosures

机译：“显式隐式”：检查错误披露期间医师非语言介入的重要性

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Physicians' detached and uninvolved nonverbal behaviours led to significantly higher patient ratings of patient distress and avoidance. These associations were not affected by patient predispositions such as sex, ethnicity, religion or prior experiences with medical errors. Also, most of the associations revealed large effects. These findings imply that nonverbal communication has a significant impact on error disclosure outcomes above and beyond what physicians say during this difficult encounter. Based on the results of this investigation, physicians are advised to combine effective verbal disclosure messages with nonverbal displays of immediacy (e.g., appropriate touching and physical distancing, direct body orientation, prolonged gazes), expressiveness (i.e., appropriate physical and vocal animation), altercentrism (e.g., displays of attentiveness and interest in the patient, affirming head nods), and positive affect (e.g., appropriate smiling, vocal and facial pleasantness), and to engage in skilled nonverbal interaction management (e.g., allowing the patient to speak without interruptions) in order to facilitate positive error disclosure outcomes.
机译：医师的独立和不参与的非语言行为导致患者对患者的困扰和回避的评分大大提高。这些关联不受患者的性格影响，例如性别，种族，宗教信仰或先前的医疗错误经历。而且，大多数关联都显示出很大的影响。这些发现表明，非言语交流对错误披露的结果产生了重大影响，超出了医生在这次艰难遭遇中所说的范围。根据这项调查的结果，建议医师将有效的言语披露信息与非言语表现的即时性（例如，适当的触摸和身体疏远，直接的身体定向，长时间的凝视），表现力（即适当的身体和声音动画）结合起来，中心主义（例如，对患者表现出专注力和兴趣，确认头部点头）和积极影响（例如，适当的微笑，声音和面部愉悦感），并进行熟练的非语言互动管理（例如，允许患者说话而无需说话）中断），以促进积极的错误披露结果。

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