Bergvik Svein, Wynn Rolf, Sørlie Tore
Department of Clinical Psychiatry, Institute of Clinical Medicine, University of Tromsø, Norway.
Patient Educ Couns. 2008 Feb;70(2):227-33. doi: 10.1016/j.pec.2007.10.013. Epub 2007 Dec 19.
At the study hospital, all elective coronary artery bypass graft (CABG) surgery patients were given similar, standardized information by the nurses. The nurses reported problems in establishing contact and interacting with patients when using this approach. To help remedy communication problems between nurses and CABG patients, a programme training nurses in a patient-centred information procedure was developed and implemented. This article describes how challenging interactions were recorded and analysed for training nurses in the patient-centred approach.
In group training for patient-centeredness, nurses presented audio-recordings of nurse-patient interactions they found problematic. These were used as a basis for discussions and training in the patient-centered approach. A set of cases was developed using a qualitative phenomenological approach, illustrating how the patient-centered approach could be applied to the difficult situations.
The nurses found the patient-centered approach particularly useful in situations when patients frequently asked questions, seemed to have difficulties expressing their worries, frequently complained, or when spouses expressed worries.
Nurses found the patient-centered approach and the training procedure used in this study useful in their clinical work with CABG patients.
This training which requires minimal resources and can be easily implemented, may guide the nurses in their interaction with patients. Providing a patient-centered approach to the CABG patients may enhance the nurse-patient contact and improve patients' hospital experience and subjective health.
在研究医院，所有择期冠状动脉旁路移植术（CABG）患者均由护士提供类似的标准化信息。护士报告称，采用这种方法时，在与患者建立联系和互动方面存在问题。为帮助解决护士与CABG患者之间的沟通问题，制定并实施了一项针对护士的以患者为中心的信息程序培训计划。本文描述了如何记录和分析具有挑战性的互动情况，以便对护士进行以患者为中心方法的培训。
在以患者为中心的小组培训中，护士们展示了他们认为有问题的护患互动录音。这些录音被用作以患者为中心方法的讨论和培训基础。采用定性现象学方法编制了一组案例，说明如何将以患者为中心的方法应用于困难情况。
护士们发现，以患者为中心的方法在患者频繁提问、似乎难以表达担忧、频繁抱怨或配偶表达担忧的情况下特别有用。
护士们发现，以患者为中心的方法以及本研究中使用的培训程序在他们与CABG患者的临床工作中很有用。
这种培训所需资源最少且易于实施，可能会指导护士与患者的互动。为CABG患者提供以患者为中心的方法可能会增强护患联系，改善患者的住院体验和主观健康状况。
