每个重症监护医生应该知道的:信任ICU
Abdul W Kazi1, Erika J Yoo1, David Oxman1
1Thomas Jefferson University Hospital, Division of Pulmonary, Allergy, and Critical Care, Philadelphia, PA 19107, United States of America.
Journal of critical care
|February 29, 2024
概括
在患者和重症监护室 (ICU) 临床医生之间建立信任对于有效的沟通和积极的临床结果至关重要. 了解影响信任的因素是重症监护医生在充满挑战的重症监护室环境中加强患者和家庭关系的关键.
科学领域:
- 医学沟通 医学沟通
- 患者与医疗服务提供者的关系
- 密集护理医学 密集护理医学
背景情况:
- 信任是患者与临床医生的关系的基础,特别是在像重症监护室 (ICU) 这样的高压环境中.
- 独特的ICU设置 - - 突然的疾病,情绪强度,非人性氛围和缺乏先前存在的关系 - - 给建立信任带来了重大挑战.
- 受损的信任可能会对沟通产生负面影响,增加冲突,并可能影响临床结果.
研究的目的:
- 探索信任在患者密集医疗关系中的关键作用.
- 识别阻碍或促进对ICU环境的信任的因素.
- 为重症监护医生提供有关可行的策略的见解,以培养患者和家庭的信任.
主要方法:
- 这项研究是对现有关于对医疗保健机构信任的文献的概念分析和综合.
- 它研究了重症监护室 (ICU) 环境中的特定动态.
- 专注于患者,家庭和重症治疗师的观点.
主要成果:
- 信任是ICU中有效沟通和协作的基石.
- 几个因素阻碍了信任,包括疾病的危急性质,情绪上的痛苦,以及不熟悉的,不个人的ICU环境.
- 相反,清晰的沟通,同情心和临床医生的认知能力被认为是建立信任的要素.
结论:
- 强化治疗师必须通过理解和应对ICU的独特挑战,积极培养信任.
- 制定提高患者和家庭信任的策略对于改善护理质量和患者体验至关重要.
- 对在重症监护中建立信任的具体干预措施的进一步研究是有必要的.
更多相关视频
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
8.9K
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.2K
相关概念视频
01:27Ethical Issues
953
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
953
01:23Ethical Standards II
671
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
671
01:17Endotracheal Intubation II: Nursing Management
628
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
628
01:08Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
01:25Ethical Standards I
809
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
809
01:23Nurses' Legal Responsibilities II
708
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
708