在息护理中探讨护理目标的导航:应用博迪欧的实践理论的定性研究
Haiyang Lin1, Shiyong Tan1, Yufei Huang1
1School of Nursing, Guangzhou Medical University, China.
Palliative care and social practice
|December 25, 2025
概括
有效的沟通对于患有生命限制疾病的患者至关重要. 本研究探讨了使用人与环境相互作用原则进行关怀讨论目标 (GOCD) 的挑战和策略.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学沟通 医学沟通
- 医学中的社会学.
背景情况:
- 有效的沟通对于管理先进的限制生命的疾病至关重要.
- 医疗保健目标讨论 (GOCD) 对于将医疗保健与患者偏好协调并提高生活质量至关重要.
研究的目的:
- 调查医务人员在GOCD期间遇到的困境.
- 通过检查人与环境的相互作用来确定进行GOCD的策略.
主要方法:
- 一项使用半结构化深度访谈的定性研究.
- 在中国广州的息护理单位采访了18名医务人员 (医生和护士).
- 数据分析采用主题分析,以博迪欧的实践理论为指导.
主要成果:
- 息护理环境面临复杂的挑战,包括敏感问题,道德困境和角色模两可.
- 医务人员在沟通中使用各种形式的资本 (信息,经济,社会,象征,情感).
- 常见的沟通模式包括厌恶风险,轻描淡写的语言和情绪克制.
结论:
- GOCD困境受到个人和环境因素的影响,正如布尔迪欧的实践理论所解释的那样.
- 建议的策略包括培养支持性的道德气候,提高沟通技巧,澄清角色,利用多样化的资本,以及解决隐含偏见.
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