在以家庭为中心的回合中,过去的歧视和护理人员沟通的经验
Lauren E Wein1, Rachel Donaldson1, Katie Margolis1
1Duke University School of Medicine, Durham, North Carolina.
在医疗保健中的歧视经历与在以家庭为中心的轮次 (FCR) 期间护理人员参与度增加相关. 这表明警程度提高,并支持临床医生创伤信息化沟通策略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
- 健康 公平 卫生 公平
背景情况:
- 歧视经历可能会影响患者与医疗服务提供者的互动.
- 以家庭为中心的回合 (FCR) 是儿科护理中沟通的关键设置.
- 了解护理人员的参与对于有效的医疗保健服务至关重要.
研究的目的:
- 检查过去的歧视和FCR期间的护理人员参与行为之间的关联.
- 调查歧视经历如何影响医疗保健机构的沟通动态.
主要方法:
- 一项涉及黑人和拉丁裔护理人员的混合方法横截面研究.
- 音频录制的FCR,关于人口统计,人际护理过程 (IPC) 和歧视的护理人员调查.
- 护理人员的歧视经历分层分为:没有,在医疗保健中,在医疗保健之外.
主要成果:
- 在FCR期间,报告在医疗保健中的歧视的护理人员提出了更多问题,并发表了更有主张的声明.
- 在受到医疗歧视的护理人员中,观察到更多的倡导和寻求医学理解的行为.
- 在IPC中,那些在医疗保健中遭受歧视的护理人员的人际关系风格评级较低.
结论:
- 医疗保健机构内的歧视与FCR期间护理人员参与度的增加有关.
- 这些参与行为可能反映了警的增加,促使需要创伤信息的沟通.
- 调查结果强调了解决歧视问题的重要性,以改善患者与医疗服务提供者之间的沟通.
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