改善NICU工作人员与家长在医疗轮的决策:反思性小组对话干预的试点研究反思性小组对话干预
Sari Ahlqvist-Björkroth1,2, Ylva Thernström Blomqvist3, Jenni Nyberg1
1Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland.
Frontiers in pediatrics
|September 29, 2023
概括
医疗保健专业人员和家长发现反思小组对话干预措施有利于改善新生儿重症监护中的沟通和共享决策. 干预支持反思性实践,提高对父母参与护理的认识.
科学领域:
- 新生儿重症监护医学 新生儿重症监护医学
- 医疗保健通讯 医疗保健通讯
- 医学教育 医学教育
背景情况:
- 有效的沟通对于医疗保健专业人员和新生儿重症监护室 (NICU) 的家长之间的共同决策至关重要.
- 对实践的反思是医疗保健专业人员改善沟通技巧和以患者为中心的护理的关键方法.
- 反思小组对话 (RGD) 的干预是为了促进这一反思过程而开发的.
研究的目的:
- 在NICU的医疗保健专业人员中探索RGD干预措施的可接受性.
- 评估RGD干预措施在支持三个反思阶段的有效性:描述,反思和批判性反思.
主要方法:
- 在NICU环境中进行了一项定性试点研究.
- 这次RGD干预包括员工的介绍,医疗检查的观察,家长的采访,以及后一轮的反思讨论.
- 来自录音的家长采访和员工讨论的数据使用专题分析进行了分析.
主要成果:
- 该RGD干预措施被家长和医疗保健工作人员广泛接受,他们认为这是有益的.
- 分析显示,讨论通过描述性,反思性和批判性反思阶段进行.
- 批判性反思带来了对家长参与的高度意识,并探索了替代实践.
结论:
- 该RGD干预措施在增强医疗保健专业人员在NICU中的反思性实践和沟通方面显示出前景.
- 干预被认为是有益的,并促进了大多数参与者的反思.
- 建议进一步改进以提高干预的可行性和影响共享决策.
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