Helft Paul R, Chamness Amy, Terry Colin, Uhrich Margaret
School of Medicine, Indiana University Health, Indianapolis, USA.
Oncol Nurs Forum. 2011 Jul;38(4):468-74. doi: 10.1188/11.ONF.468-474.
PURPOSE/OBJECTIVES: To assess oncology nurses' attitudes toward prognosis-related communication and experiences of the quality of such communication among physicians.
Cross-sectional study.
Nationwide survey in the United States.
394 Oncology Nursing Society members who completed surveys.
Pilot mailed survey.
Demographic variables, measures of attitudes toward and experiences of prognosis-related communication.
Nurses had mixed views of prognosis-related communication and identified common barriers to their own more effective participation in prognosis-related communication. Nurses with more experience and those who worked in inpatient settings were more likely to be present for physicians' prognosis-related communication with patients.
Respondents identified uncertainties regarding the scope of oncology nurses' role in prognosis-related communication. Respondents also identified opportunities for improved interdisciplinary communication, most importantly the inclusion of oncology nurses in prognosis-related communication.
Opportunities for oncology nurses to bridge some gaps in prognosis-related communication likely exist, although barriers surrounding nurses' role, education, and communication within the context of the larger healthcare team need to be clarified if potential solutions are to be developed.
目的/目标:评估肿瘤护理人员对与预后相关沟通的态度以及对医生此类沟通质量的体验。
横断面研究。
在美国进行的全国性调查。
394名完成调查问卷的肿瘤护理学会成员。
预试验邮寄调查。
人口统计学变量、对与预后相关沟通的态度及体验的测量指标。
护理人员对与预后相关的沟通看法不一,并指出自身更有效地参与与预后相关沟通存在的常见障碍。经验更丰富的护理人员以及在住院部工作的护理人员更有可能参与医生与患者进行的与预后相关的沟通。
受访者指出肿瘤护理人员在与预后相关沟通中的角色范围存在不确定性。受访者还指出了改善跨学科沟通的机会,最重要的是让肿瘤护理人员参与与预后相关的沟通。
肿瘤护理人员可能有机会弥合与预后相关沟通中的一些差距,不过,如果要制定潜在的解决方案,就需要澄清围绕护理人员在更广泛医疗团队背景下的角色、教育和沟通方面的障碍。