阅读家庭:关于器官捐献对话的构造主义立足理论
1Nursing Studies Department, University of Edinburgh, Edinburgh, Scotland, United Kingdom.
PloS one
|December 23, 2024
概括
专业护士使用一种名为"阅读家庭"的熟练过程,与丧亲家庭接触,以获取死者的器官捐赠授权. 这一理论解释了护士如何在敏感的器官捐赠对话中导航家庭情绪,以支持他们的决策.
科学领域:
- 医学社会学 医学社会学
- 护理实践 护理实践
- 生物伦理学生物伦理学
背景情况:
- 接近死者的家人以获得器官捐赠授权至关重要.
- 专业护士领导这些敏感的对话.
- 这些家庭相遇的过程和细微差别尚未完全理解.
研究的目的:
- 概念化接近家庭授权器官捐赠的过程.
- 从医疗保健专业人员和丧亲家庭的角度了解这一过程.
- 开发一种理论来解释所涉及的熟练交互.
主要方法:
- 构造主义基于理论的方法论.
- 在智利两家医院进行了6个月的观察.
- 面试和重点小组与71名参与者 (医疗保健专业人员和丧亲家庭).
主要成果:
- 开发了"阅读家庭"理论,以解释护士器官捐献协调员的方法.
- 该理论描述了获取,评估和管理家庭情绪以获得授权.
- 确定了两个维度:间接和直接,取决于临床医生的信念和沟通.
结论:
- 了解"阅读家庭"对于器官捐献的实践和政策制定至关重要.
- 强调以家庭为中心的决策的重要性,而不是个人选择.
- 该理论可能适用于其他困难的对话,需要进一步研究.
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