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通过患者和家属的参与,为长期护理中的居民和家属主导的护理讨论开发沟通工具。

Development of communication tool for resident- and family-led care discussions in long-term care through patient and family engagement.

机构信息

Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.

Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.

出版信息

Int J Older People Nurs. 2022 Mar;17(2):e12429. doi: 10.1111/opn.12429. Epub 2021 Oct 7.

Abstract

BACKGROUND

Effective communication between residents (older adults), families, and the healthcare team supports person-centred care. However, communication breakdowns can occur that can impact care and outcomes. The aim of this paper is to describe a feedback approach to developing a communication tool for residents and families to guide information sharing during care discussions with the healthcare team in long-term care.

METHODS

Development of the communication tool included consultation with key stakeholders for their feedback and input. Following initial development of the tool template by our research team, we invited feedback from our study collaborators. Next, individual interviews and a focus group were conducted with family members, followed by individual interviews with selected residents from two long-term care homes in Ontario, Canada. Participants were asked to provide input and feedback on the tool's content and usability and to share ideas for improving the tool. Content analysis was used to analyse the interview data.

RESULTS

Feedback from residents and family included suggestions to enhance the tool's content and use of plain language, and suggestions for potential application of the tool.

CONCLUSION

Feedback highlighted the value of engaging residents and family members in the development of a communication tool. The communication tool offers a structured format to support participation of residents and families in information sharing for care discussions with the healthcare team.

摘要

背景

居民(老年人)、家庭和医疗团队之间有效的沟通有助于以患者为中心的护理。然而,沟通障碍可能会影响护理和结果。本文的目的是描述一种反馈方法,用于开发一种沟通工具,供居民和家庭在与长期护理中的医疗团队进行护理讨论时指导信息共享。

方法

沟通工具的开发包括咨询主要利益相关者的反馈和意见。在我们的研究团队初步开发工具模板之后,我们邀请了研究合作者提供反馈。接下来,我们对来自加拿大安大略省的两个长期护理院的家庭成员进行了个人访谈和焦点小组访谈,随后对选定的居民进行了个人访谈。参与者被要求提供工具内容和可用性方面的意见和反馈,并分享改进工具的想法。使用内容分析法分析访谈数据。

结果

居民和家属的反馈包括增强工具内容和使用通俗易懂语言的建议,以及潜在应用工具的建议。

结论

反馈强调了让居民和家庭成员参与沟通工具开发的重要性。该沟通工具提供了一种结构化的格式,以支持居民和家属参与与医疗团队的护理讨论中的信息共享。

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Strategies to facilitate shared decision-making in long-term care.促进长期护理中共同决策的策略。
Int J Older People Nurs. 2020 Sep;15(3):e12314. doi: 10.1111/opn.12314. Epub 2020 Mar 20.

本文引用的文献

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Strategies to facilitate shared decision-making in long-term care.促进长期护理中共同决策的策略。
Int J Older People Nurs. 2020 Sep;15(3):e12314. doi: 10.1111/opn.12314. Epub 2020 Mar 20.

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