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急性医院环境中同理心沟通的理解:范围综述。

Understanding of empathetic communication in acute hospital settings: a scoping review.

机构信息

Faculty of Health, Victoria University of Wellington, Wellington, New Zealand.

Faculty of Health, Victoria University of Wellington, Wellington, New Zealand

出版信息

BMJ Open. 2022 Sep 28;12(9):e063375. doi: 10.1136/bmjopen-2022-063375.

Abstract

OBJECTIVE

Empathy and empathy education have been reviewed a number of times through systematic reviews and meta-analyses; however, the topic of 'empathetic communication' remains poorly understood when considering engaging in hospital-based research. Therefore, this scoping review aimed to explore the existing literature concerning empathetic communication in hospital settings and to evaluate the definitions presented.

DESIGN

Scoping review.

DATA SOURCES

Systematic searches of the PubMed, CINAHL, Cochrane, PsycINFO, and PsycArticles databases were conducted.

STUDY SELECTION

All English studies in which empathetic communication in hospital settings were explored. The search terms used included empathy, communication, hospital settings, providers, and consumers.

DATA EXTRACTION

Data were assessed through the use of a pre-set analysis tool.

RESULTS

After conducting the searches, 419 articles were identified, of which 26 were included in this review. No single article specifically defined the term 'empathetic communication'; however, 33 unique definitions of 'empathy' were identified, of which 23 considered communication to be a component of empathy. There was a considerable lack of consistency between the empathy definitions, with some classifying communication in empathy as an ability and others classifying it as a dynamic process.

CONCLUSION

Future and contextually focused research is needed to develop a consistent and clear definition of empathetic communication and empathy within a hospital setting to better build positive healthcare cultures.

PRACTICE IMPLICATIONS

Inconsistencies between definitions of empathy in empathetic communication research could reduce the efficacy of future research gains and impact the translation of research findings into clinical practice.

摘要

目的

同理心和同理心教育已经通过系统评价和荟萃分析进行了多次审查;然而,考虑到基于医院的研究,“同理心沟通”这一主题在参与时仍知之甚少。因此,本范围界定审查旨在探讨医院环境中同理心沟通的现有文献,并评估提出的定义。

设计

范围界定审查。

资料来源

对 PubMed、CINAHL、Cochrane、PsycINFO 和 PsycArticles 数据库进行了系统搜索。

研究选择

所有探讨医院环境中同理心沟通的英语研究。使用的搜索词包括同理心、沟通、医院环境、提供者和消费者。

资料提取

通过使用预设的分析工具评估数据。

结果

进行搜索后,确定了 419 篇文章,其中 26 篇被纳入本综述。没有一篇文章专门定义“同理心沟通”一词;然而,确定了 33 个独特的“同理心”定义,其中 23 个认为沟通是同理心的一个组成部分。同理心定义之间存在相当大的不一致,有些将沟通归类为同理心的一种能力,而有些则将其归类为动态过程。

结论

需要进行面向未来和注重背景的研究,以在医院环境中为同理心沟通和同理心制定一个一致和明确的定义,从而更好地建立积极的医疗保健文化。

实践意义

同理心沟通研究中同理心定义的不一致可能会降低未来研究成果的效果,并影响研究结果转化为临床实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c536/9528576/126b61fe5bcf/bmjopen-2022-063375f01.jpg

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