"听力疏忽":一项混合方法的研究,研究了家庭在医院里如何感到被忽视
Monica Soni1, Angela L Fan1, Elizabeth Micolisin1,2
1Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Pediatrics
|September 1, 2025
概括
医院的病人和家人经常经历"听力疏忽", 医院工作人员不尊重, 忽视患者的担忧, 无法有效沟通. 需要进行干预,以改善以患者为中心的护理和积极倾听.
科学领域:
- 医疗保健方面的沟通
- 患者安全研究
- 质量和数量分析
背景情况:
- 有效的沟通对于患者的安全和体验至关重要.
- 了解患者和家人的看法是改善护理的关键.
- 之前的研究还没有充分探讨在医院环境中被忽视的现象.
研究的目的:
- 探索住院患者和家属如何感觉不被倾听.
- 找出有助于患者和家人感到不被倾听的特定行为.
- 开发可行的干预措施来解决"听力疏忽".
主要方法:
- 一项混合方法研究,涉及8家美国医院的1375名患者和家庭的安全访谈.
- 诱导性主题分析以识别感觉未被听到的子主题.
- 统计测试 (费舍尔精确,X2) 来比较那些感觉不被倾听的人的特点.
主要成果:
- 发现了115份感觉被忽视的报道, 分类为不尊重行为,轻视态度,语言服务不足,承诺不,政策不灵活,以及升级的必要性.
- 患者和受过大学教育的护理人员更容易报告被忽视的感觉.
- "听力疏忽"这个术语是为了描述这种经历.
结论:
- 不尊重,轻视,沟通不良,不灵活等行为导致患者和家人感到被忽视.
- 系统层面和临床医生层面的干预是必要的,
- 促进以患者和家庭为中心的护理需要通过有针对性的策略解决"听力疏忽".
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