沟通工具：用于解决患者感知到的肿瘤护理差距的新型基础设施
Tools for Communication: Novel infrastructure to address patient-perceived gaps in oncology care .
作者信息
McMullen Suzanne, Szabo Shelagh, Halbert Ronald J, Lai Catherine, Parikh Aparna, Bunce Mikele, Khoury Raya, Small Art, Masaquel Anthony
机构信息
ICON.
Cedars-Sinai Health System.
出版信息
Clin J Oncol Nurs. 2017 Apr 1;21(2):E38-E48. doi: 10.1188/17.CJON.E38-E48.
BACKGROUND: Healthcare providers (HCPs) and patient communication are integral to high-quality oncology care. The patient and HCP perspectives are needed to identify gaps in care and develop communication tools. .
OBJECTIVES: This study aimed to understand patient- and HCP-perceived elements of and gaps in high-quality care to develop novel communication tools to improve care. .
METHODS: Qualitative interviews were conducted among 16 patients with cancer and 10 HCPs in the United States. Trained interviewers elicited patients' and HCPs' concerns, views, and perceived needs for communication tools. A thematic analysis was used to identify four quality of care domains, depicted in a conceptual model, and two draft communication tools were developed to address identified gaps. .
FINDINGS
No patients reported previously using a communication tool, and gaps in communication regarding treatment aims and education were evident. Two tools were developed to assess patients' life and treatment goals and the importance of ongoing education.
背景
医疗服务提供者（HCPs）与患者之间的沟通是高质量肿瘤护理不可或缺的一部分。需要从患者和医疗服务提供者的角度来识别护理差距并开发沟通工具。
目的
本研究旨在了解患者和医疗服务提供者对高质量护理的认知要素和差距，以开发新型沟通工具来改善护理。
方法
在美国对16名癌症患者和10名医疗服务提供者进行了定性访谈。经过培训的访谈者引出了患者和医疗服务提供者对沟通工具的担忧、看法和感知需求。采用主题分析法确定了概念模型中描述的四个护理质量领域，并开发了两个沟通工具草案以解决已识别的差距。
结果
没有患者报告曾使用过沟通工具，在治疗目标和教育方面的沟通差距明显。开发了两个工具来评估患者的生活和治疗目标以及持续教育的重要性。
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