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护患关系中的治疗性沟通:概念分析。

Therapeutic communication within the nurse-patient relationship: A concept analysis.

机构信息

Department of Nursing and Healthcare Sciences, Munster Technological University, Ireland.

Munster Technological University, Changsha Central Hospital, Changsha, China.

出版信息

Int J Nurs Pract. 2021 Dec;27(6):e12938. doi: 10.1111/ijn.12938. Epub 2021 May 4.

Abstract

AIMS

To explore the concept of therapeutic communication within the nurse-patient relationship, using concept analysis.

BACKGROUND

Therapeutic communication is a term that is often used in the nursing and related sciences literature, and yet it is still an ambiguous concept. Concept clarification is required to support other healthcare professionals' understanding and to guide theory development and practice.

DESIGN

A concept analysis methodology was used, as proposed by Walker and Avant.

DATA SOURCES

A systematic literature search was performed using the Cochrane database, Science Direct, Health Source: Nursing/Academic Edition, Academic Search Complete, MEDLINE and PsycARTICLES with studies published within the last 20 years.

REVIEW METHODS

The framework by Walker and Avant was adopted. The attributes, antecedents, consequences and uses of the concept were identified.

RESULTS

The attributes were information exchange, mutual respect, engagement and managing health issues of concern to the patient. The antecedents were those related to the nurse and those related to the patient. The consequences included patient satisfaction, quicker recovery time, high-quality health care outcomes and positive nurse-patient relationship outcomes.

CONCLUSIONS

A theoretical definition of the concept was developed. The attributes, antecedents and consequences identified in this paper can be used in nursing education, research and managerial and organizational planning.

摘要

目的

使用概念分析探讨护患关系中的治疗性沟通概念。

背景

治疗性沟通是护理及相关科学文献中常用的术语,但它仍然是一个模糊的概念。需要对其进行概念澄清,以支持其他医疗保健专业人员的理解,并指导理论发展和实践。

设计

采用了沃克和奥凡特提出的概念分析方法。

资料来源

使用 Cochrane 数据库、Science Direct、Health Source: Nursing/Academic Edition、Academic Search Complete、MEDLINE 和 PsycARTICLES 进行了系统的文献检索,检索了过去 20 年内发表的研究。

审查方法

采用了沃克和奥凡特的框架。确定了该概念的属性、前因、后果和用途。

结果

属性包括信息交流、相互尊重、参与和管理患者关注的健康问题。前因包括与护士有关的前因和与患者有关的前因。后果包括患者满意度、更快的康复时间、高质量的医疗保健结果和积极的护患关系结果。

结论

本文对该概念进行了理论定义。本文确定的属性、前因和后果可用于护理教育、研究以及管理和组织规划。

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