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成年癌症患者在护理环境中与护士的沟通体验:一项定性研究。

Adult patient communication experiences with nurses in cancer care settings: a qualitative study.

作者信息

Alshammari Mukhlid, Duff Jed, Guilhermino Michelle

机构信息

School of Nursing and Midwifery, University of Newcastle, Newcastle, Australia.

Nursing Department, College of Applied Medical Science, University of Hafr Al Batin, Hafr Al Batin, Saudi Arabia.

出版信息

BMC Nurs. 2022 Jul 26;21(1):201. doi: 10.1186/s12912-022-00981-4.

Abstract

BACKGROUND

The patient communication experience is an important outcome measure that guides quality improvements in healthcare settings specifically in cancer care. Therefore, this study aimed to explore the patient's communication experiences with nurses in cancer care settings.

METHODS

Semi-structured face to face interviews were conducted with 21 participants who received cancer care at two Saudi Arabian tertiary healthcare facilities between Aug 2019 to Dec 2019. The study used a qualitative descriptive design. The interviews were audio-recorded and transcribed verbatim. Thematic analysis was used to analyse the data using six stages of Braun and Clarke.

RESULTS

Four major themes were identified and a total of eleven sub-themes. The major themes were; (1) The importance of patient-nurse relationships, (2) Providing appropriate information to patients, (3) Responding to patients emotional needs and (4) Verbal communication between nurses and cancer patients.

CONCLUSIONS

Some participants felt that their communication with nurses was limited, but generally, most felt that communication was acceptable irrespective of barriers such as language, culture, religion, gender, workload and healthcare preferences. Participants drew a comparison between Saudi and non-Saudi nurses as well as between nurses and doctors communication skills. They felt that Saudi nurses had good communication skills, but non-Saudi nurses were more competent in some aspects such as kindness, politeness, respectful and non-verbal communication. They also felt that doctors were more accurate in their information than nurses.

摘要

背景

患者沟通体验是一项重要的结果指标,可指导医疗机构尤其是癌症护理领域的质量改进。因此,本研究旨在探索患者在癌症护理环境中与护士的沟通体验。

方法

2019年8月至2019年12月期间,对在沙特阿拉伯两家三级医疗机构接受癌症护理的21名参与者进行了半结构化面对面访谈。本研究采用定性描述性设计。访谈进行了录音并逐字转录。使用布劳恩和克拉克的六个阶段进行主题分析以分析数据。

结果

确定了四个主要主题和总共十一个子主题。主要主题为:(1)护患关系的重要性,(2)向患者提供适当信息,(3)回应患者的情感需求,以及(4)护士与癌症患者之间的言语沟通。

结论

一些参与者认为他们与护士的沟通有限,但总体而言,大多数人认为沟通是可以接受的,无论存在语言、文化、宗教、性别、工作量和医疗偏好等障碍。参与者对沙特护士和非沙特护士以及护士与医生的沟通技巧进行了比较。他们认为沙特护士有良好的沟通技巧,但非沙特护士在某些方面更有能力,如友善、礼貌、尊重和非言语沟通。他们还认为医生提供的信息比护士更准确。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f6/9317087/0031603c80f4/12912_2022_981_Fig1_HTML.jpg

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