Caregiver, patient, and nurse visit communication patterns in cancer home hospice
Caregiver, patient, and nurse visit communication patterns in cancer home hospice
复制标题
DOI：
10.1002/pon.4361
复制
发表时间：
2017-12-01
期刊：
影响因子：
3.6
通讯作者：
Ellington, Lee
中科院分区：
文献类型：
--
作者：
Reblin, Maija;Clayton, Margaret F.;Ellington, Lee
很少有研究探讨了家庭临终关怀环境中患者，配偶照顾者和护士之间的三元沟通。因此，对所展现的通信模式的类型知之甚少。该研究的目标是，第一，确定常见的模式，在护士，病人，照顾者家庭临终关怀访问，第二，确定护士，病人二人组，并访问的特点，预测访问communicationpatterns.Methodnurses（N=58）和临终关怀癌症患者和配偶照顾者二人组（N=101; 202个人）被招募从10个临终关怀机构。从研究入组至患者死亡，护士对患者/护理人员的家庭访视进行录音。所有患者，护理人员和护士的话语从录音编码使用一个适应Roter互动分析系统。使用确定的代码，进行聚类分析，以确定临终关怀访问内的通信模式。Logistic回归与人口统计学变量来预测访问的沟通patterns.ResultsSix访问的沟通模式被确定，主要是由2个维度定义：（1）无论是病人，照顾者，或病人和照顾者的二元互动与护士和（2）相对较高或较低的表达痛苦在访问期间。直到死亡的时间显着预测几个clusters.ConclusionThis研究的方式在概述三元通信模式在癌症家庭临终关怀访问。我们的研究结果对护理教育有影响，让未来的护士知道应该期待什么，并为未来的研究奠定了基础，以确定有效性和干预措施，以改善医疗保健沟通。
ObjectiveFew studies have examined the triadic communication between patients, spouse caregivers, and nurses in the home hospice setting. Thus, little is known about the types of communication patterns that unfold. The goals of the study were to, first, identify common patterns of communication in nurse-patient-caregiver home hospice visits and, second, to identify nurse, caregiver-patient dyad, and visit characteristics that predict visit communication patterns.MethodNurses (N=58) and hospice cancer patient and spouse caregiver dyads (N=101; 202 individuals) were recruited from 10 hospice agencies. Nurses audio recorded visits to patient/caregiver homes from study enrollment until patient death. All patient, caregiver, and nurse utterances from the audio recordings were coded using an adapted Roter interaction analysis system. Using identified codes, cluster analysis was conducted to identify communication patterns within hospice visits. Logistic regression was used with demographic variables to predict visit communication patterns.ResultsSix visit communication patterns were identified and were defined largely by 2 dimensions: (1) either the patient, the caregiver, or the patient and caregiver dyad interacting with the nurse and (2) the relatively high or low expression of distress during the visit. Time until death significantly predicted several clusters.ConclusionThis study leads the way in outlining triadic communication patterns in cancer home hospice visits. Our findings have implications for nursing education, letting future nurses know what to expect, and lays the foundation for future research to determine effectiveness and interventions to improve health care communication.