家庭护理中的严重疾病传播:概念分析
Christine S Davidson1, Olga Ehrlich2, Toni L Glover3
1Christine S. Davidson, MSN, RN, CHPN, is PhD student, School of Nursing, Oakland University, Rochester, MI.
概括
家庭护理护士需要更明确的重症沟通指南. 这项研究阐明了这一概念,强调了患者价值观,及时对话和团队合作,
科学领域:
- 护理工作
- 缓和护理
- 关于医疗保健的通讯
背景情况:
- 家庭护理越来越多地与息治疗和住院护理重叠.
- 家庭护理护士在严重疾病传播中扮演着不确定的角色.
- "严重疾病沟通"这个术语往往含糊不清,与护理目标和生命结束讨论重叠.
研究的目的:
- 分析严重疾病沟通的概念,特别是在家庭护理背景下.
- 为家庭护士提供关于严重疾病沟通的澄清和标准化.
- 探索严重疾病沟通作为响应不断变化的患者需求的战略.
主要方法:
- 使用沃克和阿凡特方法的文献审查和概念分析.
- 对家庭护理中严重疾病传播的现有文献进行审查.
- 关键属性的分析和实际应用.
主要成果:
- 严重疾病的沟通需要一个以患者价值观和理解为中心的关系.
- 有效的沟通必须在适当的时间进行,并且需要多学科的团队参与.
- 这一概念强调了向实时,以患者为中心的对话的转变.
结论:
- 对于家庭护士来说,明确严重疾病的沟通是必不可少的.
- 一种以患者为中心,以价值为导向,及时的方法至关重要.
- 这种沟通策略的标准化可以改善家中重病患者的护理.
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