Table 4 SA of medical students and frequency in CRD.
Elements of CRD | SA | Examples | Frequency of SA | Percentage |
---|---|---|---|---|
Time | 1. Focus on the time and speed of illness process | Physically he was fast deteriorating. | 22/24 | 91.67% |
2. Confirm that the patient is aware of the illness status | She knew she had cancer and was dying. | 11/24 | 45.83% | |
3. Examine how patients experience sick time | During his hospitalization, he began to write a diary. | 15/24 | 62.50% | |
Space | 4. Analyze the patient’s physical changes (human body is regarded as a space) | … finally able to get out of bed after lying in bed for six weeks. | 19/24 | 79.17% |
5. Give spatial information in a region | He sank into a dream woven by the Sahara Desert in the Italian villa. | 6/24 | 25.00% | |
Voice | 6. Identify the different voices | She wanted to stop the medical treatment, but the doctor ignored her. | 20/24 | 83.33% |
7. Confirm the speaker’s rights and obligations | She was not listening to him. | 9/24 | 37.50% | |
8. Notice the gap between the speaker and the listener | …realized that his understanding of life and medicine was wrong. | 10/24 | 41.67% | |
9. Observe the effects of the speaker’s encounter with the listener | He shook hands with the doctor and accepted what he had said. | 16/24 | 66.67% | |
10. Identify the voices that influence the patient | Based on the parents who knew him best, … | 5/24 | 20.83% | |
Metaphor | 11. Presume the patient’s wishes | He might reject the treatment. | 16/24 | 66.67% |
12. Understand complex and metaphorical expression | The opposition between night and day suggests that one should not bow to death even in old age. | 15/24 | 62.50% | |
Plot and Situation | 13. Know the attitude of the patient | He expected to… | 20/24 | 83.33% |
14. Rank the wishes of the patient and others | His needs should come first. | 11/24 | 45.83% | |
15. Understand the plot and situation deeply | That’s because he can’t take another severe blow. | 23/24 | 95.83% | |
16. New or changed knowledge | Sometimes, patients only need someone to be with them. | 16/24 | 66.67% | |
17. Awareness of the rights and interests of the patient | It was not the treatment he wanted. | 13/24 | 54.17% | |
18. Perceive the patient’s experience | Consulting famous doctors increased his doubts and fears. | 13/24 | 54.17% | |
Empathy | 19. Increase the level of empathy | He’s really struggling because he loves the family. | 21/24 | 87.50% |
20. Increase understanding of the elderly and the seriously ill | The greatest pain of a dying man is loneliness. | 10/24 | 41.67% | |
21. Attention to the patient from multiple perspectives | It’s so kind to console him with his religious belief. | 4/24 | 16.67% | |
Illness and Death | 22. Attention to details of illness and death, such as word choice | “Finally” indicates her husband passed away. | 17/24 | 70.83% |
23. Accept and promote the concept of palliative care | … should provide him with the care he expected. | 9/24 | 37.50% | |
24. Reflect on how to help the ill | Good qualities such as … are especially valuable at the moment. | 16/24 | 66.67% | |
Medical Behavior | 25. Raise the issue of caring for the patients | The doctor probably was waiting for his family to take him home. | 12/24 | 50.00% |
26. Notice the patient’s difficulties. | He found it particularly painful that no one felt sorry for him as he had expected. | 3/24 | 12.50% | |
27. Suggest arrangements or activities for the patient | She can read some poems. | 6/24 | 25.00% | |
28. Pay attention to the patient’s hobbies or the final wishes | It may be what he wanted most. | 15/24 | 62.50% | |
29. Reflect on what kind of attitude doctors should have toward the patient | The patients’ feeling is the most important. | 18/24 | 75.00% | |
Organizational Behavior | 30. Invite peers to pay attention and listen | What do you think? | 16/24 | 66.67% |
31. Respond to others’ invitation | I partly agree with you, but… | 12/24 | 50.00% | |
32. Think about communication and connection | The protection of children should extend to the entire society. | 18/24 | 75.00% | |
33. Share disease information with each other | I found some information about… | 14/24 | 58.33% |