探讨慢性疾病患儿就诊时的家长-医护人员沟通情况。
Exploration of Parent-Provider Communication During Clinic Visits for Children With Chronic Conditions.
出版信息
J Pediatr Health Care. 2018 Jan-Feb;32(1):21-28. doi: 10.1016/j.pedhc.2017.06.005. Epub 2017 Aug 31.
INTRODUCTION
The purpose of this study was to explore the communication behaviors demonstrated by parents of children with chronic conditions and provider team members when communicating about the child's care in outpatient clinics using concepts from the Theory of Shared Communication (TSC).
METHODS
This was a secondary data analysis of 30 previously recorded pediatric clinic visits. Communication among parents and provider team members was analyzed using a researcher-developed coding scheme based on the TSC.
RESULTS
Provider team members dominated communication during clinic visits, showing more frequent use of asking, explaining, advocating, and negotiating behaviors than parents. Parents were engaged in communication with frequent asking, explaining, and advocating behaviors.
DISCUSSION
Parents of children with chronic conditions and multidisciplinary providers demonstrated the communication behaviors of the TSC in an outpatient clinic setting. Provider dominance of communication in the clinic setting may disempower parents and impair relationships.
简介
本研究旨在探讨慢性病患儿的家长与医疗团队成员在门诊环境中就患儿护理进行沟通时的沟通行为，使用共享沟通理论（TSC）的概念。
方法
这是对 30 次先前记录的儿科诊所就诊的二次数据分析。使用研究者根据 TSC 开发的编码方案分析家长与医疗团队成员之间的沟通。
结果
在就诊过程中，医疗团队成员主导沟通，表现出比家长更频繁的询问、解释、倡导和协商行为。家长则积极参与沟通，表现出频繁的询问、解释和倡导行为。
讨论
慢性病患儿的家长与多学科提供者在门诊环境中表现出 TSC 的沟通行为。在诊所环境中，医疗提供者主导沟通可能会削弱家长的权能并破坏关系。
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