在重症监护病房的交叉性和包括的严重疾病沟通
Alexander T Wolf1, Darcy E Alimenti2
1Alexander T. Wolf is Nurse Practitioner, Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, and Assistant Professor, School of Nursing, MGH Institute of Health Professions, 36 1st Ave, Boston, MA 02129 (awolf1@mghihp.edu).
AACN advanced critical care
|June 7, 2024
概括
严重疾病的沟通对于危急病患者及其面临歧视的家属来说是一项挑战. 了解交叉性有助于重症监护护士提供更具包容性的沟通和护理.
科学领域:
- 医疗保健的不平等 医疗保健的不平等
- 关键护理护理 关键护理护理
- 卫生沟通健康沟通
背景情况:
- 在重症监护室 (ICU) 中,严重疾病的沟通至关重要.
- 来自不同背景的患者和家庭,包括各种种族,性别和性取向,可能面临歧视.
- 歧视可能会对沟通,决策和整体护理产生负面影响.
研究的目的:
- 讨论在ICU严重疾病传播的背景下交叉性.
- 探索交叉性,决策和护理之间的关联.
- 支持重症护理护士制定包容性沟通策略.
主要方法:
- 临床实践和护理/医疗保健研究的文献综述.
- 对交叉性和严重疾病传播的概念分析.
- 综合证据,为护理实践提供信息.
主要成果:
- 交叉性在严重疾病沟通中显著影响患者和家庭的经验.
- 如果不解决交叉身份的问题,可能会导致歧视性做法和低于最佳的护理.
- 包容性沟通需要承认和响应患者的各种需求.
结论:
- 重症护理护士必须将交叉性纳入严重疾病沟通中.
- 采用包容性实践可以减轻歧视,提高护理质量.
- 需要进一步的研究来开发和评估文化敏感的沟通干预措施.
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