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跨文化严重神经疾病沟通:多学科视角的定性分析
Adela Wu1, Karleen F Giannitrapani2, Gabriela D Ruiz Colón3
1Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA; VA Health Services Research and Development Center for Innovation to Implementation, VA Palo Alto Health Care System, U.S. Department of Veterans Affairs, Palo Alto, CA, USA.
Annals of palliative medicine
|August 12, 2024
概括
在严重的神经疾病中,有效的跨文化沟通需要尊重患者的经验,引起文化观点,吸引家庭,建立信任. 这增强了不同人群的患者-提供者伙伴关系.
科学领域:
- 神经学 神经学
- 医学沟通 医学沟通
- 文化能力 文化能力
背景情况:
- 文化能力对于严重疾病的沟通至关重要,特别是与不同患者就护理目标的沟通.
- 患者对终身护理和临床决策的看法受到文化的影响.
- 由于认知和决策影响,严重的神经疾病会带来独特的沟通挑战.
研究的目的:
- 了解医疗保健提供者的跨文化沟通经验.
- 探索与不同患者和家庭沟通严重神经疾病的挑战和最佳实践.
主要方法:
- 与17位多学科提供者 (神经外科医生,神经病学家,社会工作者) 进行了半结构化采访.
- 参与者在2021-2022年期间从三个医院环境中招募,使用有目的和雪球采样.
- 使用双重审查的定性内容分析.
主要成果:
- 提供者承认患者的偏见和生活经验影响了医疗保健态度.
- 沟通挑战源于忽视患者的文化价值观.
- 参与家庭成员对于有效的严重神经疾病沟通至关重要.
- 医疗服务提供者致力于适应患者,而信任是合作伙伴关系的关键.
结论:
- 该研究确定了严重神经疾病中跨文化沟通的关键要素.
- 尊重个人经验,引出文化观点,吸引家庭,建立信任是必不可少的.
- 这些技能对于高质量的护理团队为患有严重神经疾病的患者提供服务至关重要.
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