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麦地那五旬节医院儿科护士与患者的沟通实践:一项定性研究。

Pediatric nurse-patient communication practices at Pentecost Hospital, Madina: A qualitative study.

作者信息

Osei Appiah Evans, Appiah Stella, Kontoh Samuel, Mensah Sarah, Awuah Dorothy Baffour, Menlah Awube, Baidoo Michael

机构信息

School of Nursing and Midwifery, Valley View University, Ghana.

Purdue University, West Lafayette, USA.

出版信息

Int J Nurs Sci. 2022 Sep 20;9(4):481-489. doi: 10.1016/j.ijnss.2022.09.009. eCollection 2022 Oct.

Abstract

PURPOSE

Delivering quality health care requires effective communication between health care providers and their patients. Nurse-patient effective communication remains a challenge in Ghana, despite criticism and concern expressed by the public. The study, therefore, aims to assess the effective nurse caregivers' communication practices among pediatric nurses at Pentecost Hospital, Madina.

METHODS

A qualitative exploratory and purposive sampling technique were used. Participants were engaged in Focus group discussions or face-to-face interviews. In all, 4 focus group discussions were conducted with 7 participants in each group and 15 face-face in-depth interviews, with a total sample size of 43. The data was content analyzed. Interviews were taped recorded and transcribed verbatim.

RESULTS

The data analysis yielded 3 themes and 11 subthemes. The main themes were: effective communication practices, factors influencing effective communication, and attitudes towards effective communication. The study revealed how the participants communicated with patients who are deaf-mute, anxious, and those who refused treatment. In addition, participants reported how they used techniques such as silence, listening, and leading cues in communicating with patients and their relatives.

CONCLUSION

Effective communication between pediatric nurses, patients, and their parents is ascertained to be a key tool in the delivery of quality health care. However, several factors are found to hinder this therapeutic communication. Hence, further studies are needed to improve effective communication skills among pediatric nurses and their patients to enhance health care for children.

摘要

目的

提供高质量的医疗保健需要医护人员与其患者之间进行有效的沟通。尽管公众提出了批评和担忧,但在加纳,护士与患者之间的有效沟通仍然是一项挑战。因此,本研究旨在评估麦地那五旬节医院儿科护士中有效的护理人员沟通实践。

方法

采用定性探索性和目的性抽样技术。参与者参与焦点小组讨论或面对面访谈。总共进行了4次焦点小组讨论,每组7名参与者,以及15次面对面深入访谈,总样本量为43。对数据进行了内容分析。访谈进行了录音并逐字转录。

结果

数据分析得出3个主题和11个子主题。主要主题为:有效的沟通实践、影响有效沟通的因素以及对有效沟通的态度。该研究揭示了参与者如何与聋哑、焦虑以及拒绝治疗的患者进行沟通。此外,参与者报告了他们在与患者及其亲属沟通时如何使用沉默、倾听和引导线索等技巧。

结论

确定儿科护士、患者及其父母之间的有效沟通是提供高质量医疗保健的关键工具。然而,发现有几个因素阻碍了这种治疗性沟通。因此,需要进一步研究以提高儿科护士与其患者之间的有效沟通技巧,从而加强对儿童的医疗保健。

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