注册护士对患者使用补充疗法的沟通：一项全国性调查。

Registered Nurses' communication about patients' use of complementary therapies: A national survey.

机构信息

Nursing & Midwifery, Monash University, Frankston, Vic, Australia; Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, Australia.

Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, Australia; Department of Rural Health. University of South Australia, Australia.

出版信息

Patient Educ Couns. 2018 Aug;101(8):1403-1409. doi: 10.1016/j.pec.2018.03.010. Epub 2018 Mar 7.

DOI:10.1016/j.pec.2018.03.010

PMID:29550294

Abstract

OBJECTIVE

To identify communication patterns of Registered Nurses regarding patients' use of complementary therapies.

METHODS

A cross-sectional online survey conducted in 2017 recruited Australian Registered Nurses working in any area of nursing.

RESULTS

Responses of 614 Registered Nurses were analysed. Patient-initiated discussion of complementary therapies were common for 77% of nurses; nurse-initiated discussions were perceived by 73% (sometimes/almost always/always). Nurses' personal use of complementary therapies predicted discussion with patients and education-based, oncology, or aged care/rehabilitation nurses were most likely to initiate dialogue. Many (55%) did not 'recommend' a particular therapy, although 12% 'almost always/always' did so. Four out of five nurses (84%) documented patients' use and communicated with medical/nursing colleagues about this use. Conversely, 61% 'never' or 'almost never' communicated with a complementary therapy practitioner.

CONCLUSION

Nurses working in Australia often discuss complementary therapies, however they rarely specifically recommend their use. Their workplace environment and clinical context influenced nurses' willingness to communicate about complementary therapy use. PRACTICE IMPLICATIONS EVIDENCE: suggests the need for policy development to promote communication between mainstream healthcare providers and complementary therapy practitioners to support the delivery of safe, high quality patient care.

摘要

目的

识别注册护士在患者使用补充疗法方面的沟通模式。

方法

2017 年进行的一项横断面在线调查招募了在任何护理领域工作的澳大利亚注册护士。

结果

分析了 614 名注册护士的回复。77%的护士经常遇到患者主动讨论补充疗法的情况；73%的护士认为护士会主动讨论（有时/几乎总是/总是）。护士个人使用补充疗法预测与患者进行讨论，并且以肿瘤学、老年护理/康复护理或教育为重点的护士最有可能发起对话。许多护士（55%）不“推荐”特定的疗法，尽管有 12%的护士“几乎总是/总是”这样做。五分之四的护士（84%）记录了患者的使用情况，并与医疗/护理同事就该使用情况进行了沟通。相反，61%的护士“从不”或“几乎从不”与补充疗法从业者沟通。