Video Experimental Relacionado
Updated: Sep 9, 2025
14:05
Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
29.2K
"Negligencia en la escucha": un estudio de métodos mixtos sobre cómo las familias se sienten ignoradas en los
Monica Soni1, Angela L Fan1, Elizabeth Micolisin1,2
1Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Pediatrics
|September 1, 2025
Resumen
Los pacientes hospitalizados y las familias a menudo experimentan "negligencia auditiva", donde el personal no respeta, descarta las preocupaciones y no se comunica de manera efectiva. Se necesitan intervenciones para mejorar la atención centrada en el paciente y la escucha activa.
Área de la Ciencia:
- Comunicación en el ámbito sanitario
- Investigación sobre la seguridad de los pacientes
- Análisis cualitativo y cuantitativo
Sus antecedentes:
- La comunicación efectiva es vital para la seguridad y la experiencia del paciente.
- Comprender las perspectivas del paciente y de la familia sobre no ser escuchado es crucial para mejorar la atención.
- Las investigaciones anteriores no han explorado completamente el fenómeno de sentirse no escuchado en entornos hospitalarios.
Objetivo del estudio:
- Para explorar cómo los pacientes hospitalizados y sus familias se sienten ignorados.
- Para identificar comportamientos específicos que contribuyen a que los pacientes y sus familias se sientan ignorados.
- Desarrollar intervenciones viables para hacer frente a la "negligencia auditiva".
Principales métodos:
- Un estudio de métodos mixtos que involucró entrevistas de seguridad familiar con 1375 pacientes y familias en 8 hospitales estadounidenses.
- Análisis temático inductivo para identificar subtemas de sentimiento no escuchado.
- Pruebas estadísticas (Fisher exact, χ2) para comparar las características de los que se sentían ignorados.
Principales resultados:
- Se identificaron 115 informes de que no se sentían escuchados, categorizados en comportamiento irrespetuoso, actitudes despectivas, servicios lingüísticos inadecuados, promesas incumplidas, inflexibilidad de las políticas y la necesidad de una escalada.
- Los pacientes y los cuidadores con educación universitaria eran más propensos a reportar que no se les escuchaba.
- El término "negligencia auditiva" fue acuñado para describir esta experiencia.
Conclusiones:
- Comportamientos como la falta de respeto, el desprecio, la mala comunicación y la inflexibilidad contribuyen a que los pacientes y las familias se sientan ignorados.
- Las intervenciones a nivel de sistema y clínico son necesarias para combatir el agotamiento del personal y fomentar la escucha activa.
- Promover la atención centrada en el paciente y la familia requiere abordar la "negligencia auditiva" a través de estrategias específicas.
Videos de Conceptos Relacionados
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
5.3K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
5.3K
01:27Ethical Issues
1.2K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.2K
01:21Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
01:08Obedience
33.1K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
33.1K
01:23Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
9.0K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
9.0K
01:10Documentation of Nursing Diagnosis
1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.3K