导航慢性不确定性:在限制生命的疾病中护理沟通的理论综合
Julie B Grant1, Rachel Johnson-Koenke2
1College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, 80045, USA. Julie.b.grant@cuanschutz.edu.
BMC nursing
|September 13, 2024
概括
护士可以通过理解不确定性作为一个复杂的,同时发生的过程来改善生命限制疾病患者的沟通. 这一框架支持早期的息治疗和患者在整个疾病过程中的尊严.
科学领域:
- 护理 护理 护理
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
背景情况:
- 早期的息护理提供了显著的好处,但关于这些服务的沟通往往缺乏.
- 患有生命限制疾病 (LLI) 的患者经历了慢性不确定性,使护理和沟通复杂化.
- 有效的护士沟通对于解决急性护理环境中的患者不确定性至关重要.
研究的目的:
- 审查有关LLI慢性不确定性的护士息护理沟通的文献.
- 在护理哲学框架内定义相关理论 (疾病中的不确定性理论,问题整合理论).
- 综合理论和文献,为急性护理护理中的早期息护理沟通提供一个新的框架.
主要方法:
- 采用了特纳的理论综合方法与PRISMA风格的文献评论相结合.
- 在2023年7月和2024年5月对多个数据库 (EBSCOhost,PubMed,PsycINFO) 进行了全面的文献搜索.
- 包括对适用于慢性或限制生命的疾病的不确定性理论的二次搜索.
主要成果:
- 严重LLI的不确定性是多方面的,包括个人因素,不确定性类型和护理沟通过程.
- 不确定性沟通被概念化为一系列同时发生的事件,而不是线性因果序列.
- 综合报告强调了在LLI的背景下所有不确定性因素的相互联系.
结论:
- 开发的框架促进了对护士LLI不确定性的整体理解.
- 它强调了护士沟通在患者健康,健康和尊严方面的重要作用.
- 鼓励进一步开展护理专业的沟通研究,特别是护士发起的早期息护理和叙述技巧.
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