将基于证据的沟通原则纳入常规的癌症护理
William E Rosa1, Kristin Levoy2,3,4, Katherine Doyon5
1Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA. rosaw@mskcc.org.
概括
在癌症护理中,有效的沟通对于以患者为中心和改善结果至关重要. 这项研究提供了基于证据的策略,以应对瘤学的复杂沟通挑战,增强患者和护理人员的体验.
科学领域:
- 在瘤学瘤学.
- 医学沟通 医学沟通
- 以患者为中心的护理
背景情况:
- 癌症发病率的增加和治疗选择需要复杂的临床决策.
- 临床医生面临有效沟通的障碍,包括情绪不适和资源问题.
- 基于证据的沟通培训对于优质的癌症护理至关重要.
研究的目的:
- 引导临床医生应用基于证据的方法来应对瘤学中具有挑战性的沟通场景.
- 解决在癌症护理中阻碍有效沟通的障碍.
- 通过加强沟通,改善患者和护理人员的体验.
主要方法:
- 利用了具有重大沟通挑战的复合案例.
- 适应了沟通技能的蓝图和视觉概念化.
- 讨论了总体的沟通方法:内容传递,关系发展和同情的连接.
主要成果:
- 检查了高风险的情况:生命末期规划,儿科疾病,强烈的情绪和健康不平等.
- 提出了一份沟通蓝图,其中包括战略,技能,流程任务和示例谈话要点.
- 为整体和敏捷的沟通考虑,引入了沟通蓝图流量圈.
结论:
- 基于证据的沟通对于以人为中心的瘤护理至关重要.
- 有效的沟通改善了临床医生,患者和护理人员的结果.
- 整合基于证据的沟通确保了目标一致的癌症护理服务.
相关概念视频
Role of Communication in the Nursing Process II: Planning and Implementation
1.9K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.9K
Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
Barriers to Effective Communication II
3.7K
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...
3.7K
Role of Communication in the Nursing Process I: Assessment and Diagnosis
4.4K
The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
4.4K
Role of Communication in the Nursing Process III: Evaluation and Documentation
1.3K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.3K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
8.3K
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...
8.3K


