Faculty of Health Science, Nord-Trøndelag University College, Steinkjer, Norway.
Eur J Cancer Care (Engl). 2010 Mar;19(2):184-91. doi: 10.1111/j.1365-2354.2008.01040.x. Epub 2009 Aug 17.
Communication between nurses and patients is a pivotal dimension in cancer care. However, one aspect that has received little investigation is the nature of goal-related communications between patient and nurse. This study was designed to investigate the goal-directed communications of nurse-patient interactions in outpatient cancer clinics in Norway. The field study was a naturalistic inquiry involving audio-recordings of eight naturally occurring patient-nurse conversations. Data were content analysed for recurring communication themes and patterns of communication goals. Data revealed three main themes: the medical treatment plan, the patient's cancer situation and prognosis and the patient's psychosocial reactions to their illness. The extent to which each theme was discussed and the types of nurses' and patients' goals varied depending upon the patient's situation. Nurses should be participative in goal-setting and pay great attention to patients' goals and be particularly sensitive to signs of uncertainty. More research is required in order to fully understand the processes involved and help nurses to effectively deal with the core issues involved in these consultations.
护士与患者之间的沟通是癌症护理的一个关键方面。然而，有一个方面几乎没有得到调查，那就是患者和护士之间与目标相关的沟通的性质。本研究旨在调查挪威门诊癌症诊所中护士-患者互动的目标导向沟通。该实地研究是一种自然主义探究，包括对 8 次自然发生的医患对话进行音频记录。对反复出现的沟通主题和沟通目标模式进行内容分析。研究结果揭示了三个主要主题：医疗治疗计划、患者的癌症状况和预后以及患者对疾病的心理社会反应。每个主题的讨论程度以及护士和患者的目标类型取决于患者的情况。护士应参与目标设定，并高度关注患者的目标，特别注意不确定性的迹象。需要进一步研究，以充分了解所涉及的过程，并帮助护士有效地处理这些咨询中涉及的核心问题。
