诊断资源的使用对护士在入院访谈期间与模拟患者沟通的影响。
The influence of the use of diagnostic resources on nurses' communication with simulated patients during admission interviews.
作者信息
Paans Wolter, Müller-Staub Maria, Nieweg Roos
机构信息
School of Nursing, Research and Innovation Group in Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands.
Research and Innovation Group in Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands.
出版信息
Int J Nurs Knowl. 2013 Jun;24(2):101-107. doi: 10.1111/j.2047-3095.2013.01240.x. Epub 2013 Apr 5.
PURPOSE
The aim of this study was to determine how the use of diagnostic resources influences nurses' communication during admission interviews.
METHODS
A randomized controlled trial was performed. Actors simulated patients based on case studies. We analyzed transcriptions of 60 interviews and video recordings using the Roter Method of Interaction Process Analysis.
FINDINGS
Nurses mainly asked closed-ended questions. The use of knowledge sources, such as forms in the PES format or an assessment format, affected communication significantly in several aspects.
CONCLUSION
Prestructured forms may promote comprehensive interviews, but nurses need to be aware that using certain kinds of diagnostic resources may hinder them from asking open-ended questions.
PRACTICE IMPLICATIONS
Nurses need to increase their use of open-ended questions.
目的
本研究的目的是确定诊断资源的使用如何影响护士在入院访谈期间的沟通。
方法
进行了一项随机对照试验。演员根据案例研究模拟患者。我们使用互动过程分析的罗特尔方法分析了60次访谈的文字记录和视频记录。
结果
护士主要问封闭式问题。使用知识来源，如PES格式的表格或评估格式，在几个方面对沟通有显著影响。
结论
预结构化表格可能促进全面访谈，但护士需要意识到使用某些类型的诊断资源可能会阻碍他们提出开放式问题。
实践意义
护士需要增加开放式问题的使用。
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