社区护士如何处理老年人表达的担忧:一个对话分析研究
Leonie Slots1, Bogdana Humă2, Hedwig Te Molder2
1Department of Language, Literature and Communication, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; Research Group Social Work, Saxion University of Applied Sciences, Enschede, the Netherlands; Research Group Technology, Health & Care, Saxion University of Applied Sciences, Enschede, the Netherlands; Department of Design, Production, and Management, Faculty of Engineering Technology, University of Twente, Enschede, the Netherlands.
International journal of nursing studies
|January 28, 2026
概括
当社区护士在家里解决老年人的问题时,他们采用了三个不同的沟通策略. 这些方法显著影响了人们如何理解和解决问题,强调了语言在护理中的力量.
科学领域:
- 老年学是指老年学的学科.
- 护理科学 护理科学
- 社会语言学 社会语言学
背景情况:
- 社区护士对于支持老年人在家中独立至关重要.
- 促进自决,自主和自我管理是家庭护理的关键.
- 这项研究侧重于护士如何解决接受家庭护理支持的老年人的担忧.
研究的目的:
- 识别和描述社区护士使用的沟通策略.
- 了解这些策略如何影响解决老年人的担忧.
- 分析护士在塑造客户关注管理中的作用.
主要方法:
- 分析了社区护士和老年人之间的21次记录的家庭访问对话.
- 利用对话分析,一种诱导性的定性方法.
- 在2020年至2022年期间,在荷兰一个大城市收集的数据.
主要成果:
- 确定了三种不同的沟通轨迹:探索性,假设性和保证性.
- 探索性:护士指导客户识别原因和解决方案.
- 假设:护士提供解决方案,而没有探索问题的起源.
- 安慰:护士将担忧正常化,导致客户建议现有补救措施.
结论:
- 在家访期间,语言在构建和解决客户担忧方面发挥着至关重要的作用.
- 社区护士对老年人的担忧的发展和解决有着重大影响.
- 有效的沟通策略对于成功的家庭护理结果至关重要.
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