Behind the doors of home hospice patients: A secondary qualitative analysis of hospice nurse communication with patients and families.
Behind the doors of home hospice patients: A secondary qualitative analysis of hospice nurse communication with patients and families.
复制标题
家庭临终关怀患者的门后：临终关怀护士与患者和家属沟通的二次定性分析。
DOI：
10.1017/s1478951518001098
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发表时间：
2019
影响因子：
2.2
通讯作者：
Ellington,Lee
中科院分区：
文献类型：
--
作者：
Oliver,DebraParker;Tappana,Jessica;Washington,KarlaT;Rolbiecki,Abigail;Craig,Kevin;Demiris,George;Schafer,Collyn;Winjobi,Mumeenat;Clayton,MargaretF;Reblin,Maija;Ellington,Lee
目的临终关怀护士经常遇到处于巨大情绪困扰下的患者和家人，但他们在情绪激动的情况下使用的沟通技巧却很少被调查。在这项研究中，研究人员试图检查临终关怀护士使用的验证沟通技巧，在先前的研究中已经证明，这是有效的支持个人经历的情绪困扰。方法研究人员进行了定向内容分析的录音65临终关怀护士的家访，确定的情况下，护士使用验证通信技术和评级的复杂程度，这些技术。护士在家访期间至少使用一次验证沟通技术。使用较低级别（即，更基本的）技术比使用更高级的（即，结果的意义虽然临终关怀护士似乎自然地使用基本的验证技术，使用更高层次的技术，这已被证明会导致在其他环境中改善临床结果的好处可能被发现。
ObjectiveHospice nurses frequently encounter patients and families under tremendous emotional distress, yet the communication techniques they use in emotionally charged situations have rarely been investigated. In this study, researchers sought to examine hospice nurses’ use of validation communication techniques, which have been shown in prior research to be effective in supporting individuals experiencing emotional distress.MethodResearchers performed a directed content analysis of audiorecordings of 65 hospice nurses’ home visits by identifying instances when nurses used validation communication techniques and rating the level of complexity of those techniques.ResultAll nurses used validation communication techniques at least once during their home visits. Use of lower level (i.e., more basic) techniques was more common than use of higher level (i.e., more complex) techniques.Significance of ResultsAlthough hospice nurses appear to use basic validation techniques naturally, benefit may be found in the use of higher level techniques, which have been shown to result in improved clinical outcomes in other settings.