患者在息治疗期间的沟通和参与决策的观点:卢旺达的一个定性研究
Evelyne Nankundwa1, Clementine Kanazayire2, Fitch Margaret3
1General Nursing Department, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Rwanda journal of medicine and health sciences
|September 24, 2025
概括
在息治疗中,有效的沟通对于患者参与决策至关重要. 患者经常收到不清楚的信息,强调需要以人为中心的沟通策略,以使护理与他们的价值观保持一致.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
- 患者参与 患者参与
背景情况:
- 在息护理中,有效的沟通对于了解患者的需求和偏好至关重要.
- 清晰的信息交换,共享的决策和同情的关系是关键组成部分.
研究的目的:
- 探索患者对息治疗中的沟通和决策参与的看法.
- 了解患者在晚期疾病期间与医疗保健提供者的体验.
主要方法:
- 使用半结构面试进行定性研究设计.
- 数据分析采用解释性现象学分析 (IPA).
主要成果:
- 确定了四个主要主题:对沟通的看法,对话的影响,讨论中的挑战和参与决策.
- 八个子主题提供了对患者体验的详细见解.
结论:
- 沟通对于患者参与息治疗决策至关重要.
- 患者经常经历信息不足的情况,特别是在危急的疾病阶段.
- 有针对性,以人为中心的沟通是必要的,以支持患者的参与,并与价值观调整护理.
相关概念视频
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
7.2K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
7.2K
Role of Communication in the Nursing Process II: Planning and Implementation
2.5K
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...
2.5K
Nursing Ethical Principles II
2.1K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.1K
Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K
Ethical Dilemmas II
2.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.3K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K


