在重症监护室进行有效的家庭医生对话的沟通策略:一项混合方法研究
Eyleen Reifarth1, Boris Böll1, Matthias Kochanek1
1Department I of Internal Medicine, University Hospital Cologne, Center of Integrated Oncology Aachen Bonn Cologne Dusseldorf (CIO), Cologne, Germany.
Intensive & critical care nursing
|August 5, 2023
概括
家庭成员和临床医生更喜欢在重症监护室清晰的沟通. 关键策略包括面对面的讨论,问-告诉-问方法,以及解释医疗术语以提高患者护理理解.
科学领域:
- 医学沟通 医学沟通
- 密集护理医学 密集护理医学
- 患者与家人之间的关系
背景情况:
- 在重症监护室 (ICU) 中,有效的沟通至关重要.
- 了解家庭成员和临床医生的观点对于优化在重症监护期间信息交换至关重要.
- 现有的沟通策略可能无法完全满足所有利益相关者的需求.
研究的目的:
- 探索和比较重症监护病人的家庭成员和临床医生在家庭和临床医生对话中关于信息传递的观点.
- 在沟通方法和策略中识别共同和不同的偏好.
- 在ICU环境中为家庭医生沟通提供最佳实践信息.
主要方法:
- 在两个德国学术三级医院ICU中采用混合方法设计.
- 进行了数字调查,包括开放式和闭式问题,度量表和自由文本选项.
- 定量分析发现了相似之处和差异,而定性定向内容分析则主题编码了自由文本响应.
主要成果:
- 分析了100名家庭成员,42名护士和28名医生的反应 (47%的响应率).
- 所有群体都倾向于面对面的沟通,询问-告诉-询问方法,接受者设计和解释医疗术语.
- 家庭成员特别强调床边礼貌和书面信息,并喜欢提供沟通格式选择 (摘要与细节) 的临床医生,并确保回答所有问题.
结论:
- 共享偏好与现有的专家建议对ICU通信保持一致.
- 不同的偏好突出了关系方面的重要性和补充的书面信息.
- 进一步研究ICU中的同情沟通策略是有必要的.
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