母亲近乎失踪病例中的沟通:基于哈伯马斯的分析
Aline Veras Moraes Brilhante1, July Grassiely de Oliveira Branco2, Monalisa Silva Fontenele Colares2
1Programa de Pós-Graduação em Saúde Coletiva, Universidade de Fortaleza. Av. Washington Soares 1321, Edson Queiroz, Fortaleza CE Brasil. alineveras@unifor.br.
母亲近乎失踪的妇女经历了由于医疗保健专业人员的沟通失败.
科学领域:
- 孕产妇健康 孕产妇健康
- 沟通研究 沟通研究
- 卫生社会学 卫生社会学
背景情况:
- 母亲近乎失踪是医疗保健质量的关键指标.
- 沟通中断显著影响患者的安全和结果.
- 了解患者的经验对于改善护理至关重要.
研究的目的:
- 探索那些在母亲身边幸存下来的妇女的经历.
- 在这些关键事件中分析患者和医疗保健专业人员之间的沟通动态.
- 应用哈伯马斯的沟通行动理论来理解这些相互作用.
主要方法:
- 使用自传叙事采访的定性方法.
- 14名母亲近乎失踪的幸存妇女参与了这项研究.
- 基于舒兹的叙事采访方法和哈伯马斯理论的分析.
主要成果:
- 两个主要主题出现了:"选择性倾听,冲突和疏忽"和"责怪患者和暴力沟通".
- 人际关系的特点是专制主义和缺乏对话.
- 专业人士表现出非反射的姿势,缺乏自我批评和批判的自由.
结论:
- 在母亲近乎失踪的情况下,沟通失败源于战略理性,并专注于技术成功.
- 威权主义的沟通和患者指责会对用户的护理产生负面影响.
- 改善沟通,强调对话和反射性,对于预防母亲近乎失踪事件至关重要.
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