"护理目标"语言的二元性:与前线临床医生进行定性焦点小组研究
Michaella M Reif1, Katharine E Secunda2, Justin T Clapp3
1Department of Medicine (M.M.R., M.P.), University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Journal of pain and symptom management
|August 19, 2023
概括
临床医生使用"护理目标" (GOC) 作为终身护理的信号,与其专注于患者价值观的理想意义不同. 由于严重疾病的沟通需求,模糊性仍然存在.
科学领域:
- 医学沟通 医学沟通
- 抚慰性护理是一种缓解性护理.
- 关键护理医学 关键护理医学
背景情况:
- "护理目标" (GOC) 短语在严重疾病护理中缺乏一致的定义.
- 严重疾病护理中的错误沟通是一个重大挑战.
- 了解GOC的使用情况可以识别和减轻通信障碍.
研究的目的:
- 描述前线息和重症监护临床医生在实践中如何理解和使用GOC短语.
- 探索中医药的理想概念与其临床应用之间的差距.
主要方法:
- 10个焦点小组成绩单的二次定性主题分析.
- 参与了59名来自两个学术医疗中心的息和重症监护的跨专业临床医生.
- 从一项关于为呼吸衰竭患者提供护理的家长研究中收集的数据.
主要成果:
- 临床医生使用GOC作为终身护理的信号,并在预期未实现时表示冲突.
- 在GOC的临床使用与其更广泛的,以患者价值为中心的理想意义之间存在区别.
- 息护理专家主张采用中国政府的理想概念.
结论:
- 临床医生认为GOC的双重性:一个理想化的概念和快速的临床信号.
- 由于讨论复杂的患者优先事项的未满足需求,像GOC这样的模两可的短语仍然存在.
- 对于严重疾病的护理,需要改进沟通策略.
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