Exploring oral literacy in communication with hospice caregivers.
Exploring oral literacy in communication with hospice caregivers.
复制标题
探索与临终关怀护理人员沟通中的口语读写能力。
DOI：
10.1016/j.jpainsymman.2012.11.006
复制
发表时间：
2013
影响因子：
4.7
通讯作者：
VanStee,Stephanie
中科院分区：
文献类型：
--
作者：
Wittenberg-Lyles,Elaine;Goldsmith,Joy;Oliver,DebraParker;Demiris,George;Kruse,RobinL;VanStee,Stephanie
ContextLow oral literacy has been identified as a barrier to pain management for informal caregiver who receive口头指令on pain medicine and pain protocols.ObjectivesTo examine recorded communication between hospice staff and informal caregiver and explore caregiver experiences.MethodsUsing transcripts of interactions（n= 47），口语读写能力的特点进行了分析，通过检查广义语言的复杂性，使用Flesch，金凯德分级量表和对话互动性定义的谈话轮数和互动时间。照顾者的焦虑，生活质量，疼痛管理的感知，知识和舒适提供止痛药，和满意度的纵向随访措施的手段进行了检查，探讨他们的关系，以口头literacy.ResultsCommunication团队成员和照顾者之间的平均水平的Flesch-Kincaid量表上的第四个等级，表明沟通是容易理解的。阅读轻松程度与护理人员对疼痛管理的理解和舒适度相关（r= 0.67，P < 0.05）。当会话中被动句的使用增加时，护理人员疼痛管理的感知障碍较低（r= 0.61，P < 0.01），表明被动语态不是语言复杂性的准确指标。护理人员对止痛药物的理解和舒适度（r=-0.82，P < 0.01）和护理人员的生活质量（r=-0.49，P < 0.05）与对话paces.ConclusionAs等级水平与护理人员和临终关怀团队的谈话增加，相关的护理人员焦虑增加。焦虑程度较高的护理人员在理解止痛药及其管理方面也遇到了更大的困难。确定了临终关怀团队可以做出的具体调整，以改善护理人员的体验。
ContextLow oral literacy has been identified as a barrier to pain management for informal caregivers who receive verbal instructions on pain medication and pain protocols.ObjectivesTo examine recorded communication between hospice staff and informal caregivers and explore caregiver experiences.MethodsUsing transcripts of interactions (n= 47), oral literacy features were analyzed by examining the generalized language complexity using the Flesch-Kincaid grading scale and the dialogue interactivity defined by talking turns and interaction time. Means for longitudinal follow-up measures on caregiver anxiety, quality of life, perception of pain management, knowledge and comfort providing pain medication, and satisfaction were examined to explore their relationship to oral literacy.ResultsCommunication between team members and caregivers averaged a fourth-grade level on the Flesch-Kincaid scale, indicating that communication was easy to understand. Reading ease was associated (r= 0.67,P< 0.05) with caregiver understanding of and comfort with pain management. Perceived barriers to caregiver pain management were lower when sessions had increased use of passive sentences (r= 0.61,P< 0.01), suggesting that passive voice was not an accurate indicator of language complexity. Caregiver understanding and comfort with administering pain medications (r= −0.82,P< 0.01) and caregiver quality of life (r= −0.49,P< 0.05) were negatively correlated with dialogue pace.ConclusionAs the grade level of talk with caregivers and hospice teams increased, associated caregiver anxiety increased. Caregivers with higher anxiety also experienced greater difficulty in understanding pain medication and its management. Specific adjustments that hospice teams can make to improve caregiver experiences are identified.