培养患者信任:在干预研究NAVIGATE中,对脆弱的肺癌患者和护士导航员之间的相互作用进行了定性研究
R Torenholt1, R Langballe1, T Tjørnhøj-Thomsen2
1Cancer Survivorship, Danish Cancer Institute, Copenhagen, Denmark.
Psycho-oncology
|October 25, 2025
概括
护士通过认可,支持和选择性参与,积极培养患者的信任. 诸如时间和人际关系之类的上下文因素显著地影响了这一必不可少的因素.
科学领域:
- 瘤科 护理 护理专业
- 以患者为中心的护理
- 医疗保健的信任动态 医疗保健的信任动态
背景情况:
- 患者的信任对于有效的癌症护理至关重要,特别是对于弱势群体.
- 对于护士建立和维持对弱势患者的信任的策略,人们的理解有限.
研究的目的:
- 探索护士在培养患者信任方面的具体行动和努力.
- 了解"信任工作"的概念,在弱势癌症患者的护理护理的背景下.
主要方法:
- 使用NAVIGATE随机对照试验数据进行的定性研究.
- 包括五家丹麦医院的16名肺癌患者和8名护士.
- 数据来源:有声记录的临床接触,观察和半结构面试;使用专题分析进行分析.
主要成果:
- 护士不断从事"信任工作",包括"认可" (记住患者,承认经验),"见证/监护" (提供持续支持),以及"参与/脱离" (与资源接触或脱离系统问题).
- 建立信任的努力受到护士的时间,护理的连续性,专业角色和专业间关系的影响.
结论:
- 通过专门的"信任工作",护士在培养患者信任方面发挥着至关重要的作用.
- 时间,连续性和关系等上下文因素对于优化对脆弱癌症患者护理的信任建设至关重要.
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