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不同的世界:护士-医师沟通的文化视角。

Different worlds: a cultural perspective on nurse-physician communication.

机构信息

University of Oklahoma College of Nursing, Oklahoma City, 3812 Mason Hills Drive, PO Box 3074, Edmond, OK 73083, USA.

出版信息

Nurs Clin North Am. 2010 Mar;45(1):71-9. doi: 10.1016/j.cnur.2009.10.005.

DOI:10.1016/j.cnur.2009.10.005
PMID:20189545
Abstract

Nurses and physicians have a unique opportunity to work together to provide quality patient care. Although numerous studies have documented the value of effective nurse-physician communication on patient outcomes and on nurse and physician satisfaction, communication between many physicians and nurses continues to be poor. A variety of reasons for this disconnect have been identified, including differences in education, role expectations, gender, and approach to practice. Based on the principle that it is more important to understand than to be understood, application of a cultural competence model offers nurses the opportunity to better understand their physician colleagues. Because of the imperative to provide sensitive care to a diverse population, nurses are expected to assess cultural variations when planning care. That same skill can be applied to improving professional relationships with physicians. This article proposes application of a cultural competence model as a framework to assist nurses to better understand physicians with whom they work. With a focus on how culture affects one's world view, nurses will be encouraged to employ this cultural competence model in their interactions with physicians.

摘要

护士和医生有独特的机会共同努力,为患者提供优质的护理。尽管许多研究都记录了有效的护士与医生沟通对患者结局以及护士和医生满意度的价值,但许多医生和护士之间的沟通仍然很差。造成这种脱节的原因有很多,包括教育、角色期望、性别和实践方法的差异。基于理解比被理解更重要的原则,应用文化能力模型为护士提供了更好地理解医生同事的机会。由于必须为不同人群提供敏感的护理,护士在计划护理时应评估文化差异。同样的技能也可以应用于改善与医生的专业关系。本文提出应用文化能力模型作为框架,帮助护士更好地理解与他们一起工作的医生。本文重点关注文化如何影响一个人的世界观,鼓励护士在与医生的互动中运用这种文化能力模型。

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