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医疗专业人员对与患者沟通和商议的质量及其对健康决策过程的影响的看法。

Perceptions of health professionals about the quality of communication and deliberation with the patient and its impact on the health decision making process.

作者信息

Osuna Eduardo, Pérez-Carrión Antonio, Pérez-Cárceles María D, Machado Francisco

机构信息

Department of Forensic Medicine, School of Medicine, University of Murcia.

University Hospital Reina Sofía, School of Medicine, University of Murcia, Spain.

出版信息

J Public Health Res. 2018 Dec 20;7(3):1445. doi: 10.4081/jphr.2018.1445.

Abstract

The information process is considered a core element in decision- making and an obligatory matter of concern for the health professional. Rather than information , we should perhaps mention the need for communication between the health professional and the patient, which should be appropriate to each specific case and situation. Interaction and communication during the relationship generates a degree of trust that contributes to improving care quality and health-related results. The aim of this study is to know the perception of professionals on the quality of communication and its impact on the decision-making process of the patient and the degree of involvement of health professionals in the process of communication with the patient. A sample of 2186 health professionals (1578 nurses, 586 physicians, and 22 pharmacists) was studied. A questionnaire composed of 20 items dealing with the process of communication with the patient and obtaining informed consent was administered. Our study revealed the high consideration that professionals hold of their communication skills with patients since almost 80% of those surveyed, think they are sufficiently skilled in this area. Professionals refers that nurses are most skilled at communicating with patients. Communication in the clinical relationship must not only serve as a way for the professional to obtain information from the patient on their pathology, but also as a means to inform patients so that they understand their illness. Patients also like to feel that they are being listened to and are co-participants in the care process. Communication should be a continuous object of study for all health professionals, both in primary and specialised attention.

摘要

信息处理被视为决策的核心要素,也是健康专业人员必须关注的事项。或许我们不应只谈信息,而应提及健康专业人员与患者之间进行沟通的必要性,这种沟通应适合每个具体案例和情况。医患关系中的互动与沟通会产生一定程度的信任,有助于提高护理质量和与健康相关的结果。本研究的目的是了解专业人员对沟通质量的看法及其对患者决策过程的影响,以及健康专业人员在与患者沟通的过程中的参与程度。研究了2186名健康专业人员(1578名护士、586名医生和22名药剂师)的样本。发放了一份由20个项目组成的问卷,内容涉及与患者沟通及获得知情同意的过程。我们的研究表明,专业人员高度重视他们与患者的沟通技巧,因为近80%的受访者认为自己在这方面具备足够的技能。专业人员指出,护士在与患者沟通方面最有技巧。临床关系中的沟通不仅应作为专业人员从患者那里获取其病情信息的一种方式,还应作为告知患者以便他们了解自己疾病的一种手段。患者也希望感到自己被倾听,并是护理过程的共同参与者。沟通应成为所有健康专业人员持续研究的对象,无论是在初级护理还是专科护理中。

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