Journal of Medical Education and Development
مجله مركز مطالعات و توسعه آموزش علوم پزشكي يزد
jmed
Medical Sciences
http://jmed.ssu.ac.ir
1
admin
2251-7065
2251-8266
fa
jalali
1402
9
1
gregorian
2023
12
1
18
3
online
1
fulltext
fa
بررسی چالشها و راهکارهای افشای خبر بد در حوزه مامایی: یک مطالعه مرور روایتی
The Challenges and Solutions of Breaking Bad News in Midwifery: a Narrative Review
آموزش پزشكي
Medical Education
مروري
Review
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></span></b> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">با توجه به شیوع بالای حوادث نامطلوب در دوران بارداری و زایمان، مطالعه</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:"></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> حاضر به صورت یک مطالعه مرور روایتی با هدف بررسی چالش</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های افشای خبر بد در حوزه مامایی و انواع رویکردهای مداخلهای آموزش انتقال خبر بد انجام شده است.</span></span></span><b><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">روش بررسی:</span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">این مطالعه به شکل مرور </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">روایتی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">و با جستجو در پایگاه</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های اطلاعاتی فارسی و انگلیسی شامل </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Medline, PubMed, Embase, Web of Science, Scopus, CINAHL, IRANDOC, Google scholar, Iranmedex, medlib, Sid, and Mag-Iran</span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> با کلید واژه</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">هایی شامل خبر بد، مامایی، زایمان، بارداری، اسپایکز(</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">S-P-I-K-E-S</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">) ، آموزش مامایی در محدوده زمانی 1990-2022 انجام گرفت. در نهایت تعداد 20 مقاله کمی و کیفی وارد پژوهش شدند.</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">نتایج</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">: </span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">این مقالات در دو حوزه چالش</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:"></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های پرسنل بهداشتی در انتقال خبر بد و استراتژی</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های مختلف جهت نحوه آموزش انتقال خبر بد مورد بررسی قرار گرفتند. در مطالعات مختلف برای آموزش انتقال خبر بد از تکنیک</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های مختلف از جمله پروتکل اسپایکز، روش </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">ABCDE</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، بیمار شبیه سازی شده یا </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Mini-CEX</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، در آموزش انتقال خبر بد در حوزه</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های مختلف مامایی از جمله شکست </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">IVF</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، مرگ داخل رحمی و ... استفاده شده بود. استفاده از کارت</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:"></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های برخورد بالینی یا </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">CECs</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">ها، آزمون</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:"></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های آسکی و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Mini-CEX</span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> تکنیک</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:"></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">هایی هستند که برای ارزشیابی دانشجویان مورد استفاده قرار گرفته بودند.</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">نتیجهگیری</span></span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">: </span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">انتقال مناسب خبر بد از چالش</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:"></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های پرسنل بهداشتی و درمانی است. استفاده از تکنیک</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:"></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">های آموزشی مناسب به دانشجویان و پرسنل درمانی می</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تواند پیامدهای منفی ناشی از انتقال نامناسب اخبار بد را کاهش دهد.</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br>
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<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Introduction:</span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt"> Due to the high prevalence of adverse events during pregnancy and childbirth, the present study was conducted as a narrative review study investigating the challenges of disclosing bad news in the midwifery field and various intervention approaches for teaching bad news.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Method:</span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt"> This study is in the form of a narrative review and by searching Persian and English databases including Medline, PubMed, Embase, Web of Science, Scopus, CINAHL, IRANDOC, Google Scholar, Iranmedex, medlib, Sid, and Mag-Iran with key Words including bad news, midwifery, childbirth, pregnancy, spikes (S-P-I-K-E-S), midwifery education were conducted in the time range of 1990-2022. Finally, 20 quantitative and qualitative articles were included in the research.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Results:</span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt"> These articles were examined in two areas: the challenges of health personnel in conveying bad news and different strategies for teaching how to convey bad news. In studies, various techniques have been used to teach the delivery of bad news, such as Spikes protocol, ABCDE method, simulated patient or Mini-CEX, in the teaching of delivery of bad news in various fields of obstetrics, such as IVF failure, intrauterine death, etc. have been. The use of clinical encounter cards or CECs, Asci tests and Mini-CEX are techniques that were used to evaluate students.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:right 468.0pt 472.5pt"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Conclusion:</span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt"> Proper transmission of bad news is one of the challenges of healthcare personnel. Using appropriate educational techniques for students and medical personnel can reduce the negative consequences of inappropriate transmission of bad news.</span></span></span></span></span></span></span></span><br>
</div>
خبر بد, مامایی, آموزش مامای
bad news, midwifery, midwifery education.
563
579
http://jmed.ssu.ac.ir/browse.php?a_code=A-10-1396-1&slc_lang=fa&sid=1
samaneh
yoseflu
سمانه
یوسفلو
s.yoseflu@yahoo.com