在重症监护中生命末期对文化敏感沟通的实践建议:一项经过修改的eDelphi研究
Laura A Brooks1, Elizabeth Manias2, Bodil Rasmussen3
1School of Nursing and Midwifery, Deakin University, Geelong, VIC, Australia; Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Burwood, VIC, Australia.
Intensive & critical care nursing
|October 2, 2024
概括
这项研究制定了在重症监护病房 (ICU) 对文化敏感的生命终端沟通的实践建议. 这些指导方针涉及不同患者背景,临床医生认为这些指导方针是相关的和可行的.
科学领域:
- 医学沟通 医学沟通
- 在生命末期的护理.
- 医疗保健中的文化能力.
背景情况:
- 在重症监护室 (ICU) 进行有效的生命终端沟通至关重要,但由于文化,宗教和语言的多样性,这是一个挑战.
- 临床医生需要特定的技能来在患者护理期间应对这些复杂性.
研究的目的:
- 开发和评估在ICU中对文化敏感的生命终端沟通的实践建议.
- 为照顾来自不同文化背景的患者的临床医生提供指导.
主要方法:
- 一项经过修改的两轮eDelphi研究,涉及58名专家ICU临床医生 (护理和医疗).
- 在线调查对13项实践建议进行评价,随后对10名临床医生进行专家小组采访.
- 数据分析包括调查数据的描述性统计数据和采访数据的演性内容分析.
主要成果:
- 所有13个实践建议都实现了高内容有效性 (I-CVI > 0.8,S-CVI = 0.95),表明了强大的共识.
- 在使用专业口译员,让护士参与家庭会议,促进文化仪式和倡导家庭参与讨论方面达成了高度一致.
- 在文化敏感沟通领域的专业发展建议也显示出高度的共识.
结论:
- 实践建议为ICU临床医生提供了必要的指导,以与文化多元的患者和生命末期的家庭进行沟通.
- 这些建议是相关的,可行的,在各种ICU环境中广泛适用,为临床医生和政策制定者提供了明确的指导.
更多相关视频
相关概念视频
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.7K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.7K
Ethical Issues
866
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
866
Ethical Dilemmas II
950
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
950
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Therapeutic Communication
4.4K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
4.4K
Nursing Ethical Principles II
932
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
932


