Collaborative communication in pediatric palliative care: A foundation for problem-solving and decision-making

Collaborative communication in pediatric palliative care: A foundation for problem-solving and decision-making
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DOI:
10.1016/j.pcl.2007.07.008
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发表时间:
2007-10-01
影响因子:
2.6
通讯作者:
Feudtner, Chris
Feudtner, Chris
中科院分区:
医学3区
文献类型:
--
作者:
Feudtner, Chris

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在理想的世界中,我们所有人——患者、父母、家庭成员、护士、医生、社会工作者、治疗师、教牧护理人员和其他人——将始终以协作的方式共同努力,提供尽可能最好的护理。本文将追求这一理想的框架建立在对患者、家属和临床医生之间沟通的研究以及有关沟通、协作、决策、调解和道德的更一般性著作的基础上,由四个部分组成:(1)协作沟通的含义; (2) 影响我们如何界定患有危及生命的儿童所面临的情况以及这些框架如何塑造我们提供的护理的关键概念; (3) 对于协作沟通任务很重要的一般主题,特别是当我们开始解决复杂问题时如何使用启发式方法; (4) 协作沟通的三项常见任务,为患者护理提供实用建议。
In an ideal world, all of us-patients, parents, family members, nurses, physicians, social workers, therapists, pastoral care workers, and others-would always work together in a collaborative manner to provide the best care possible. This article bases the framework for pursuing this ideal upon studies of communication between patients, families, and clinicians, as well as more general works on communication, collaboration, decision making, mediation, and ethics, and is comprised of four parts: (1) what is meant by collaborative communication; (2) key concepts that influence how we frame the situations that children with life-threatening conditions confront and how these frameworks shape the care we provide; (3) general topics that are important to the task of collaborative communication, specifically how we use heuristics when we set about to solve complicated problems; and (4) three common tasks of collaborative communication, offering practical advice for patient care.