School of Allied Health, Curtin University, Perth, Western Australia, Australia.
School of Population Health, Curtin University, Perth, Western Australia, Australia.
J Adv Nurs. 2022 Jun;78(6):1773-1786. doi: 10.1111/jan.15196. Epub 2022 Mar 14.
To explore the range and use of communication strategies by Parkinson's nurse specialists, and describe key communication strategies, to support health professionals in their healthcare interactions with people with Parkinson's.
A qualitative descriptive study.
Due to the COVID-19 pandemic, the study took place in an online setting. Online semi-structured interviews were conducted with eight Australian Parkinson's nurse specialists and one UK Parkinson's nurse between August and October of 2020. Interviews explored healthcare communication, specifically (1) ways Parkinson's nurse specialists support communication during healthcare interactions, (2) factors influencing the use of communication strategies, and (3) how the nurses learned to communicate effectively with people with Parkinson's disease. Reflexive thematic analysis was used to analyse the data.
Parkinson's nurse specialists described the importance of establishing strong therapeutic relationships, the key role of the communication partner, adapting communication to reduce cognitive load, ensuring two-way understanding, and enabling expressive communication for people with Parkinson's. Knowing the person and family, knowing the disease and understanding the symptoms appeared to influence the choice of communication strategies in healthcare interactions. Learning through others, learning through experience and learning through education and research were considered important parts of becoming a skilled healthcare communicator when working with people with Parkinson's.
Knowledge and use of effective communication strategies to support people with Parkinson's is crucial for all health professionals working with this population, in order to reduce the occurrence of poor healthcare outcomes. A deep understanding of how Parkinson's disease affects communication and experience in implementing communication strategies were reported as contributing to the success of Parkinson's nurses in communicating with their patients.
This study provides a description of the key, translational communication strategies that can be used by all health professionals to support healthcare interactions with people with Parkinson's.
探索帕金森病护士专家的沟通策略范围和使用情况，并描述关键沟通策略，以支持卫生专业人员与帕金森病患者进行医疗保健互动。
定性描述性研究。
由于 COVID-19 大流行，该研究在网上进行。2020 年 8 月至 10 月期间，通过在线半结构化访谈，对 8 名澳大利亚帕金森病护士专家和 1 名英国帕金森病护士进行了访谈。访谈探讨了医疗保健沟通，特别是（1）帕金森病护士专家如何在医疗保健互动中支持沟通，（2）影响沟通策略使用的因素，以及（3）护士如何学会与帕金森病患者有效沟通。使用反思性主题分析对数据进行分析。
帕金森病护士专家描述了建立牢固治疗关系的重要性、沟通伙伴的关键作用、适应沟通以减少认知负荷、确保双向理解以及为帕金森病患者提供表达性沟通的重要性。了解患者及其家庭、了解疾病和理解症状似乎会影响医疗保健互动中沟通策略的选择。通过他人学习、通过经验学习和通过教育和研究学习被认为是与帕金森病患者合作成为熟练医疗沟通者的重要组成部分。
了解和使用有效的沟通策略来支持帕金森病患者对于所有与该人群合作的卫生专业人员来说至关重要，以减少不良医疗结果的发生。对帕金森病如何影响沟通的深入了解以及在实施沟通策略方面的经验被报告为帕金森病护士成功与患者沟通的原因。
本研究描述了所有卫生专业人员可用于支持与帕金森病患者进行医疗保健互动的关键转化沟通策略。
