决定,一个特定于怀孕的患者-提供者沟通方法:多方法和代码设计
Medea Myers-Stewart1, Monica Santosh Surti1, Madison Kennedy1
1From the Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
The Pediatric infectious disease journal
|February 14, 2025
概括
怀孕期间疫苗接种率低,需要新的沟通策略. DECIDE方法平衡了共享决策与明确的建议,赋予患者和医疗保健提供者更好的疫苗沟通能力.
科学领域:
- 孕产妇和儿童的健康
- 卫生沟通健康沟通
- 疫苗学 疫苗学 疫苗学
背景情况:
- 怀孕期间接种疫苗对于母亲和婴儿的健康至关重要,但接种率很低.
- 对于儿童疫苗的现有沟通策略对于怀孕的独特背景是不够的.
- 了解孕妇的细微决策是提高疫苗接受度的关键.
研究的目的:
- 为疫苗接种设计一种特定于怀孕的,以人为中心的沟通方法.
- 为了解决孕妇人群中推疫苗摄入量低的问题.
- 开发一个工具,支持医疗保健提供者和孕妇之间的共享决策.
主要方法:
- 利用使用双钻设计框架的多方法研究.
- 进行了广泛的研究,包括范围审查,调查,与患者和医疗保健提供者 (HCP) 进行定性访谈,以及社区外展.
- 通过与患者合作伙伴和医疗保健工作者进行原型设计,角色扮演和可用性测试,代地开发和完善了沟通方法.
主要成果:
- 确认需要一个针对怀孕的具体沟通策略,并确定了当前实践中的关键差距.
- 开发了DECIDE (确定,引发,同意,交互式讨论,交付,赋权) 沟通方法.
- DECIDE方法平衡了共享决策与明确的建议,支持患者的自主权,增强医疗人员的信心和沟通技巧.
结论:
- DECIDE沟通方法是一种新的,针对怀孕的战略,旨在改善疫苗接种率.
- 这种平衡的方法解决了孕妇对自主性的渴望,同时为卫生保健工作者提供了实际的工具.
- DECIDE框架对除了疫苗接种之外的其他健康干预措施具有潜在的适用性.
相关概念视频
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:25Role of Communication in the Nursing Process I: Assessment and Diagnosis
The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing process.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing process.
01:25Role of Communication in the Nursing Process II: Planning and Implementation
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
01:21Barriers to Effective Communication II
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...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...