Department of Journalism, College of Journalism and Communications, University of Florida, 1885 Stadium Road, Gainesville, FL 32611, United States.
Department of Medicine, College of Medicine, PO Box 100215, University of Florida, Gainesville, FL 32610, United States.
Geriatr Nurs. 2021 May-Jun;42(3):694-699. doi: 10.1016/j.gerinurse.2021.02.009. Epub 2021 Apr 5.
Identify doctors' and nurses' perceptions of effective communication strategies when talking with family members of patients with hospital-acquired delirium.
We conducted focus groups and interviews of hospitalists, anesthesiologists, and nurses using a semi-structured approach. We rigorously analyzed transcribed data using a constant comparative method.
We conducted six focus groups and 14 interviews. Participants included 20 hospitalists, 9 anesthesiologists, and 21 nurses. Clinicians identified three communication approaches as effective when communicating with family of delirium patients: Provide reassurance, educate families, and engage in family-centered communication.
In communicating with families of patients with post-operative delirium, clinicians work to reassure and educate families using family-centered communication. Different approaches are used by different types of clinicians to accomplish this goal. Clinicians recognized the importance of involving family members in the patients' recovery.
Though clinically common and familiar to clinicians, delirium may be a new diagnosis for family members and thus compassion and education are vital. Due to the different clinical roles, education may be different for each discipline.
确定医生和护士在与医院获得性谵妄患者家属交谈时对有效沟通策略的看法。
我们采用半结构化方法对医院医生、麻醉师和护士进行了焦点小组和访谈。我们使用恒定性比较方法对转录数据进行了严格分析。
我们进行了 6 个焦点小组和 14 次访谈。参与者包括 20 名医院医生、9 名麻醉师和 21 名护士。临床医生在与谵妄患者的家属沟通时，确定了三种有效的沟通方法：提供保证、教育家属和进行以家庭为中心的沟通。
在与术后谵妄患者的家属沟通时，临床医生使用以家庭为中心的沟通方式来安慰和教育家属。不同类型的临床医生使用不同的方法来实现这一目标。临床医生认识到让家庭成员参与患者康复的重要性。
尽管谵妄在临床上很常见且为临床医生所熟悉，但对于家属来说，这可能是一个新的诊断，因此同情和教育至关重要。由于不同的临床角色，每个学科的教育可能不同。
