医疗服务提供者对妇科癌症治疗预约期间护理人员沟通行为的评估。
Healthcare provider assessments of caregiver communication behaviors during gynecologic Cancer treatment appointments.
作者信息
Senger Angela, Venetis Maria K, Greene Kathryn, Catona Danielle, Devine Katie A
机构信息
Rutgers, The State University of New Jersey, Department of Communication, 4 Huntington Street, New Brunswick, NJ 08901, USA.
Rutgers Cancer Institute of New Jersey, Department of Pediatric Population Science, Outcomes, and Disparities Research, 195 Little Albany Street, New Brunswick, NJ 08901, USA.
出版信息
PEC Innov. 2024 Feb 1;4:100259. doi: 10.1016/j.pecinn.2024.100259. eCollection 2024 Dec.
OBJECTIVE
Caregivers often accompany patients to cancer-related medical appointments. Limited research exists on healthcare providers' (HCPs) evaluation of how caregiver communication influences interactions between healthcare providers and patients, particularly during gynecologic treatment visits. HCPs may perceive caregiver communication as helpful or challenging, and these triadic interactions may influence patient outcomes.
METHODS
Interviews with ten cancer specialist HCPs (medical assistants/technicians, nurse practitioners/registered nurses, oncologists) addressed experiences interacting with patients and caregivers.
RESULTS
Analyses revealed two themes concerning helpful communication: caregivers managing information and managing patient emotions. Three challenging themes include caregiver communication unsettling healthcare interactions, caregiver presence limiting patient communication, and caregiver engagement challenges.
CONCLUSION
HCPs evaluate caregiver communication as helpful and challenging. Findings suggest benefits of communication training for gynecologic cancer patients such as requesting privacy when interacting with HCPs, for caregivers to promote awareness of effects of their behavior, and for HCPs to help manage triadic interactions while supporting patient needs.
INNOVATION
HCP assessment of caregiver communication during gynecologic treatment visits offers unique insights regarding helpful and challenging behaviors contributing to implications for patient care and well-being. Applications may extend to other triadic interactions and cancer settings.
目的
护理人员常常陪伴患者参加与癌症相关的医疗预约。关于医疗服务提供者（HCPs）如何评估护理人员的沟通对医疗服务提供者与患者之间互动的影响，尤其是在妇科治疗就诊期间，相关研究有限。HCPs可能认为护理人员的沟通有帮助或具有挑战性，而这些三方互动可能会影响患者的治疗结果。
方法
对十位癌症专科HCPs（医疗助理/技术员、执业护士/注册护士、肿瘤学家）进行访谈，了解他们与患者及护理人员互动的经历。
结果
分析揭示了两个关于有帮助的沟通的主题：护理人员管理信息和管理患者情绪。三个具有挑战性的主题包括护理人员的沟通扰乱医疗互动、护理人员在场限制患者沟通以及护理人员参与方面的挑战。
结论
HCPs认为护理人员的沟通既有帮助又具有挑战性。研究结果表明，对妇科癌症患者进行沟通培训有诸多益处，比如患者在与HCPs互动时要求隐私，护理人员提高对自身行为影响的认识，以及HCPs在支持患者需求的同时帮助管理三方互动。
创新点
HCPs对妇科治疗就诊期间护理人员沟通的评估，为有助于患者护理和福祉的有帮助及具有挑战性的行为提供了独特见解。其应用可能扩展到其他三方互动和癌症治疗场景。
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