主要护理护士从业人员的看法和经验与成年人沟通关于不良童年经历的经验
1The University of Pennsylvania, School of Nursing, Philadelphia, Pennsylvania.
Journal of the American Association of Nurse Practitioners
|October 26, 2023
概括
在初级保健中,执业护士 (NP) 面临着讨论不良童年经历 (ACE) 的障碍. 了解这些挑战对于改善以患者为中心的沟通和未来关于ACE的NP教育至关重要.
科学领域:
- 初级保健研究研究初级保健研究
- 临床沟通研究 临床沟通研究
- 健康差异 在健康上的差异
背景情况:
- 有限的文献描述了关于童年逆境的临床沟通.
- 存在着以患者为中心的沟通框架,但在初级保健中了解关于不良童年经历 (ACE) 的沟通方面仍然存在差距.
- 在临床环境中探索成人ACE暴露的沟通作用需要进一步调查.
研究的目的:
- 探索影响执业护士 (NP) 与成年人关于初级保健中的ACE沟通的因素.
- 了解国家医生的看法和经验,以了解他们与成人患者讨论ACE暴露的能力.
- 确定在初级保健机构讨论ACE的促进者和障碍者.
主要方法:
- 一个探索性,定性,描述性的研究,以初级保健中不良童年经历的患者与提供者沟通 (PPC-ACE) 模型为指导.
- 与15位美国初级保健NP进行了半结构化采访,记录和转录.
- 利用感应主题分析进行转录分析,通过Atlas.ti进行补充数据可视化,并通过Qualtrics.ti收集数据.
主要成果:
- 关键主题确定了与ACE相关的对话的沟通方法,感知障碍和促进者.
- 影响ACE沟通的因素包括实践范围,提供者偏见,多样化的实践模式和二次创伤.
- 这些因素被NP认为对其在初级保健中讨论ACE的能力产生了积极或负面影响.
结论:
- 这项研究提供了更深入的见解,对影响NP感知,与ACE相关的,以患者为中心的与初级保健中的成年人沟通的影响.
- 这些发现将指导未来对初级保健中ACE沟通的研究,影响NP教育,实践和卫生政策.
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