School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China SAR.
J Clin Nurs. 2012 Mar;21(5-6):812-24. doi: 10.1111/j.1365-2702.2011.03942.x. Epub 2011 Oct 18.
This article reports on a systematic review of qualitative studies on patients' experiences of preoperative communication with healthcare professionals.
Communication is critical for providing efficient care to patients. It is especially important for patients waiting for surgery, as they experience a variety of unknowns before the procedure. Through communication with healthcare professionals, patients gain a better understanding of the surgery and the issues related to their life after the surgery. Thus, the preoperative communication between healthcare professionals and patients is a significant topic for review.
Systematic review.
Six electronic databases (CINAHL, Cochrane Library, Embase, Medline, PsycINFO and PUBMED) were systematically searched. Qualitative studies of patients' experiences before surgery were purposely selected for synthesis. Key themes and concepts were extracted and synthesised.
Eleven studies on patients' experiences before surgery were identified. Four main themes relating to patients' experiences of preoperative communication with healthcare professionals were identified from all 11 articles. These themes were as follows: need for information, involving relatives, need for control and healthcare professionalism.
Patients' experience of preoperative communication with healthcare professionals showed different needs and feelings for communication. Healthcare professionals need to have adequate knowledge, skills and positive attitudes to help patients through the journey of this critical life event.
Patients' sensitivity and their different needs for communication may contribute to future advances in the training of healthcare professionals with regard to their communication knowledge and skills. They may also affect the allocation of resources for patients waiting for surgery and educating related professionals about their knowledge and skills of communication and their attitudes. Adequate space for meeting simultaneously with patients and their relatives and extra human resources and tools for the assessment of individuals' need for communication are also required.
本文报告了一项关于患者对术前与医疗保健专业人员沟通体验的定性研究的系统评价。
沟通对于为患者提供高效护理至关重要。对于等待手术的患者尤其重要，因为他们在手术前会经历各种未知情况。通过与医疗保健专业人员的沟通，患者可以更好地了解手术以及与术后生活相关的问题。因此，医疗保健专业人员与患者之间的术前沟通是一个值得审查的重要话题。
系统评价。
系统检索了六个电子数据库（CINAHL、Cochrane 图书馆、Embase、Medline、PsycINFO 和 PUBMED）。有针对性地选择了关于患者术前体验的定性研究进行综合分析。提取并综合了关键主题和概念。
确定了 11 项关于患者手术前体验的研究。从所有 11 篇文章中确定了与医疗保健专业人员术前沟通相关的四个主要主题。这些主题如下：信息需求、涉及亲属、控制需求和医疗保健专业性。
患者与医疗保健专业人员术前沟通的体验显示出不同的沟通需求和感受。医疗保健专业人员需要具备足够的知识、技能和积极的态度，以帮助患者度过这一关键人生事件。
患者对与医疗保健专业人员沟通的敏感性及其不同需求可能有助于未来在医疗保健专业人员的沟通知识和技能培训方面取得进展。它们还可能影响等待手术的患者资源分配，并教育相关专业人员沟通知识和技能以及他们的沟通态度。还需要为同时与患者及其亲属会面提供足够的空间，并为评估个人沟通需求配备额外的人力资源和工具。
