紧急部门与各种护理人员和痴呆症患者的沟通:一种定性研究
Anita N Chary1,2,3, Norvin Hernandez4, Ana Paulina Rivera4
1Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USA.
Journal of the American Geriatrics Society
|March 29, 2024
概括
护理人员的倡导对于急诊室 (ED) 与痴呆症患者 (PLWD) 的沟通至关重要,特别是对于非英语发言者. 沟通策略必须解决患者和护理人员的优先事项,而不仅仅是常规的协议.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 沟通研究 沟通研究
背景情况:
- 紧急部门 (ED) 与痴呆症患者 (PLWD) 的沟通挑战得到了记录.
- 关于PLWD的种族和少数民族护理人员的沟通经验的理解有限.
- 少数群体面临着不成比例的痴呆影响和在研究中的代表性不足.
研究的目的:
- 探索城市学术ED中PLWD护理人员的沟通经验.
- 将这些经验与不同患者群体进行比较,重点关注种族,种族和语言差异.
主要方法:
- 进行了半结构化采访,与两个城市ED的29名PLWD护理人员进行了半结构化采访.
- 采访被记录,转录和分析,使用诱导方法来确定主题.
- 在一个以白人为主,讲英语的ED和一个以黑人/西班牙裔为主,讲西班牙语的ED之间比较了沟通主题.
主要成果:
- 护理人员的倡导是必不可少的,特别是对于英语水平有限的PLWD来说.
- 现有的护理计划往往忽视了参与者和PLWD优先事项,而是专注于协议.
- 与少数民族护理人员相比,说英语的白人护理人员对参与护理决策的期望更高.
结论:
- 语言障碍加剧了对PLWD的ED护理的复杂性.
- 需要有效的沟通策略来解决PLWD及其护理人员在ED环境中的优先事项.
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