儿科住院医生对与患有医疗复杂性儿童的家属沟通的思考:一种定性研究
Breann Butts1, Kathleen Huth2, Lisa E Herrmann3
1Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH; Division of General & Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
儿科住院医生确定了影响与有医疗复杂性 (CMC) 的儿童家庭沟通的因素. 有效的策略促进共享决策和以患者为中心的CMC护理.
科学领域:
- 儿科医学 儿科医学
- 医疗保健通讯 医疗保健通讯
- 医学教育 医学教育
背景情况:
- 有效的提供者-患者沟通对于最佳的健康结果至关重要,特别是在医疗复杂性 (CMC) 的儿童中.
- 了解儿科住院医生对沟通促进者和障碍的看法,是制定有针对性的培训计划的关键.
- 本研究探讨了居民的观点,以提高在照顾CMC的沟通技巧.
研究的目的:
- 调查儿科住院医生对CMC家庭有效沟通的促进者和障碍者的见解.
- 确定居民识别的因素,影响在临床接触中与CMC.家庭的沟通.
主要方法:
- 半结构面试与高级儿科住院医生的专题分析.
- 采访指南的制定是基于文献审查和专家的共识,包括家庭伙伴.
- 循序渐进地收集和分析数据,直到达到主题充分性.
主要成果:
- 11名高级儿科住院医生参加了这次活动,其中许多人先前有过复杂护理轮换经验.
- 确定的主题包括家庭因素 (健康素养,专业知识),居民因素 (偏见,情绪) 和上下文因素 (设置分心,连续性).
- 有效的沟通策略以人性化互动,积极倾听,协作和系统方法为中心,与共享决策模型保持一致.
结论:
- 居民的反思强调了影响CMC家庭沟通的感知因素的重要性.
- 居民认为与家人共享决策是护理团队不可或缺的一部分.
- 识别出有效的沟通策略,可以为CMC中以患者/家庭为中心的护理的未来课程提供信息.
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