家庭对不同类型的临床医生的反应 儿科护理会议中的同情表达
Aleksandra E Olszewski1,2, Jori Bogetz1,3, Miranda C Bradford4
1Division of Bioethics and Palliative Care, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington, USA.
Journal of palliative medicine
|December 4, 2023
概括
临床医师的同情心改善了患者的护理. 探索不同的同情表达,如"探索"陈述,鼓励家庭分享更多的观点,增强儿科护理的共同决策.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医学中的沟通.
- 以患者为中心的护理
背景情况:
- 临床医生的同情心对于积极的患者结果至关重要.
- 关于特定的同情表达如何影响家庭反应的研究有限.
- 了解这些细微差别可以优化患者-提供者沟通.
研究的目的:
- 调查家庭对各种类型的临床医生同情陈述的反应.
- 为了确定哪些同情表达最有效地引起家庭观点.
- 在儿科护理中为共享决策提供沟通策略的信息.
主要方法:
- 前性,混合方法的队列研究.
- 参与了儿科住院护理会议的分析.
- 利用临床医生陈述和家庭反应的定向内容分析.
主要成果:
- 家庭同意或更多地分享了84%的同情陈述.
- 家庭对"探索" (71.4%) 陈述的回应比"验证" (61%) 和"尊重/支持" (39%) 陈述的回应更多.
- 在29名患者中,39%的患者使用了语言翻译.
结论:
- 特定的同情沟通策略可以显著提高家庭参与度.
- "探索"陈述似乎最有效地促使家庭分享他们的观点.
- 研究结果支持将同情表达量身定制,以促进儿科环境中的共享决策.
相关概念视频
Empathy
9.6K
Some researchers suggest that altruism operates on empathy. Empathy is the capacity to understand another person’s perspective, to feel what he or she feels. An empathetic person makes an emotional connection with others and feels compelled to help (Batson, 1991). Empathy can be expressed in several ways, including cognitive, affective, and motor.
9.6K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.9K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.9K
Therapeutic Communication
4.5K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
4.5K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
8.2K
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...
8.2K
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Psychodynamic Therapy
68
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
68


