Hafskjold Linda, Sundler Annelie J, Holmström Inger K, Sundling Vibeke, van Dulmen Sandra, Eide Hilde
Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden School of Health and Education, University of Skövde, Skövde, Sweden.
BMJ Open. 2015 Apr 15;5(4):e007864. doi: 10.1136/bmjopen-2015-007864.
This paper presents an international cross-sectional study on person-centred communication with older people receiving healthcare (COMHOME). Person-centred care relies on effective communication, but few studies have explored this with a specific focus on older people. The main aim of the COMHOME study is to generate knowledge on person-centred communication with older people (>65 years) in home healthcare services, radiographic and optometric practice.
This study will explore the communication between care providers and older persons in home care services. Home healthcare visits will be audiorecorded (n=500) in Norway, the Netherlands and Sweden. Analyses will be performed with the Verona Coding Definitions for Emotional Sequences (VR-CoDES), the Roter Interaction Analysis System (RIAS) and qualitative methods. The content of the communication, communicative challenging situations as well as empathy, power distance, decision-making, preservation of dignity and respect will be explored. In Norway, an additional 100 encounters, 50 in optometric practice (video recorded) and 50 in radiographic practice (audiorecorded), will be analysed. Furthermore, healthcare providers' self-reported communication skills, empathy, mindfulness and emotional intelligence in relation to observed person-centred communication skills will be assessed using well-established standardised instruments.
Depending on national legislation, approval of either the central ethical committees (eg, nation or university), the national data protection officials or the local ethical committees (eg, units of home healthcare) was obtained. Study findings will be disseminated widely through peer-reviewed publications and conference presentations. The research findings will add knowledge to improve services provided to this vulnerable group of patients. Additionally, the findings will underpin a training programme for healthcare students and care providers focusing on communication with older people.
本文介绍了一项关于与接受医疗保健服务的老年人进行以患者为中心的沟通的国际横断面研究（COMHOME）。以患者为中心的护理依赖于有效的沟通，但很少有研究专门针对老年人进行这方面的探索。COMHOME研究的主要目的是获取有关家庭医疗保健服务、放射学和验光实践中与老年人（65岁以上）进行以患者为中心的沟通的知识。
本研究将探索家庭护理服务中护理提供者与老年人之间的沟通。挪威、荷兰和瑞典将对家庭医疗保健访视进行音频记录（n = 500）。将使用维罗纳情感序列编码定义（VR-CoDES）、罗特尔互动分析系统（RIAS）和定性方法进行分析。将探索沟通的内容、沟通中的挑战性情况以及同理心、权力距离、决策制定、尊严和尊重的维护。在挪威，还将分析另外100次交流，其中50次是验光实践（视频记录），50次是放射学实践（音频记录）。此外，将使用成熟的标准化工具评估医疗保健提供者自我报告的沟通技巧、同理心、正念和情商与观察到的以患者为中心的沟通技巧之间的关系。
根据国家立法，已获得中央伦理委员会（如国家或大学）、国家数据保护官员或地方伦理委员会（如家庭医疗保健单位）的批准。研究结果将通过同行评审出版物和会议报告广泛传播。研究结果将增加知识，以改善为这一弱势群体患者提供的服务。此外，研究结果将为针对医学生和护理提供者的以与老年人沟通为重点的培训计划提供支持。
