Advance directive communication: nurses' and social workers' perceptions of roles.
Advance directive communication: nurses' and social workers' perceptions of roles.
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DOI：
10.1177/1049909106289080
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发表时间：
2006-06-01
期刊：
影响因子：
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通讯作者：
Black, Kathy
中科院分区：
文献类型：
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作者：
Black, Kathy
作为未来医疗的高级护理计划的一个方面，高级指令沟通代表了老年患者专业医疗实践的一个重要方面。护士和社会工作者经常讨论急性护理环境中的提前指示；然而，按学科进行沟通的做法并没有得到很好的理解。这项定性研究通过比较护士和社会工作者对其角色的认知来探索提前指令沟通实践中的差异。焦点小组访谈由护士(n=6)和社会工作者(n=5)进行。从数据中得出了五个关键主题。研究结果表明，这两个职业都认识到了初级教育的作用，尽管他们的信息实践在内容上有所不同。专业人士报告了导致他们与患者进行实践的不同途径。这两个学科都确定了家庭和提供者的倡导角色。从业者报告说，他们在家庭中扮演着不同的角色。相互承认了跨学科的作用。研究结果表明，护士和社会工作者对患者进行平行和互补的提前护理计划实践。
As a facet of advance care planning for future health care, advance directive communication represents an important aspect of professional health care practice with older patients. Nurses and social workers routinely discuss advance directives in acute care settings; however, communication practices by discipline are not well understood. This qualitative study explored differences in advance directive communication practices by comparing and contrasting nurses' and social workers' perceptions of their roles. Focus group interviews were conducted with nurses (n = 6) and social workers (n = 5). Five key themes emerged from the data. Findings suggest that both professions perceive primary educational roles, though their informational practices differed in content. The professionals reported differential pathways that led to their practices with patients. Both disciplines identified advocacy roles with families and providers. The practitioners reported distinct roles with families. There was mutual recognition of interdisciplinary roles. The findings suggest that nurses and social workers engage in both parallel and complementary advance care planning practices with their patients.