College of Nursing, University of Utah, Salt Lake City, Utah 84112, USA.
J Palliat Med. 2012 Mar;15(3):262-8. doi: 10.1089/jpm.2011.0287. Epub 2012 Feb 17.
Effective communication by hospice nurses enhances symptom management for the patient, reduces family caregiver burden and distress, and potentially improves bereavement adjustment. However, research has not kept pace with the rising use of hospice by patients with cancer and thus we know little about how hospice nurses communicate.
The overriding objective of this pilot study was to provide insight into these in-home visits. Hospice nurses audiorecorded their interactions over time with family caregivers and patients with cancer. The communication within these tapes was coded using Roter Interaction Analysis System (RIAS) and analyzed.
We found that tape recording home hospice nurse visits was feasible. RIAS was suited to capture the general content and process of the home hospice encounter and the coded interactions show the range of topics and emotions that are evident in the dialogue. Implications and future directions for research are discussed.
临终关怀护士的有效沟通可以增强患者的症状管理，减轻家庭照顾者的负担和痛苦，并有可能改善丧亲后的调整。然而，与癌症患者对临终关怀需求的不断增加相比，相关研究却明显滞后，因此我们对临终关怀护士的沟通方式知之甚少。
本试点研究的主要目的是深入了解这些家访。临终关怀护士会随时间录制与癌症患者及其家庭照顾者的互动。使用罗特互动分析系统（RIAS）对这些录音带中的沟通内容进行编码和分析。
我们发现，录制家庭临终关怀护士访视是可行的。RIAS 适用于捕捉家庭临终关怀遭遇的一般内容和过程，编码后的互动显示了对话中明显存在的各种主题和情绪。讨论了研究的影响和未来方向。
