西班牙语协同护理对儿科耳鼻喉科共享决策的影响
Caleb M Allred1,2, Sanjay R Parikh1,3,4, Xing Wang4
1Division of Pediatric Otolaryngology, Seattle Children's Hospital, Seattle, WA, USA.
The Laryngoscope
|August 4, 2025
概括
儿科耳鼻喉科的语言一致护理显著提高了西班牙语护理人员的共享决策. 这种方法促进了更好的协作和以患者为中心的护理,改善了整体决策过程.
科学领域:
- 医疗决策的制定能力
- 患者与医生之间的沟通
- 儿科耳鼻喉科 儿科耳鼻喉科
背景情况:
- 共享决策 (SDM) 对于将患者偏好与临床专业知识相结合至关重要.
- 了解不同患者群体中SDM偏好对于公平的护理至关重要.
- 儿科耳鼻喉科的西班牙语护理人员是研究沟通动态的关键人口.
研究的目的:
- 描述儿科耳鼻喉科西班牙语护理人员的决策偏好.
- 在语言一致与语言不一致的遭遇中评估共享决策 (SDM) 的水平.
- 测试语言一致护理提高SDM分数的假设.
主要方法:
- 一项涉及儿童学术中心156名西班牙语护理人员的横截面研究.
- 护理人员完成了控制偏好尺度和共享决策问卷.
- 统计分析包括费舍尔的精确测试,克鲁斯卡尔-瓦利斯测试和曼-惠特尼U测试来比较组.
主要成果:
- 积极合作的角色是最喜欢的决策风格 (41.4%).
- 与语言不一致的遭遇相比,与语言不一致的遭遇相比,语言一致的遭遇显示出显著更高的SDM问卷得分 (中位数[IQR]: 100 [88.89, 100.00]) (中位数[IQR]: 94.44 [82.22, 100.00]; p=0.003).
- 护理人员人口统计数据显示平均年龄为38.14岁,大多数参与者是母亲.
结论:
- 语言一致的护理积极影响了儿科耳鼻喉科咨询的共享决策.
- 这些发现表明,量身定制的沟通促进了更大的患者参与和偏好调整.
- 实施语言一致的护理可以增强西班牙语家庭的SDM过程.
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