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护理专业学生在患者沟通中使用AIDET的生活体验:菲律宾的一项定性研究。

Nursing students' lived experiences with using AIDET in patient communication: A qualitative study in the Philippines.

作者信息

Madayag Rudena A, Esteron Jeffrey V, Lozano Diane Anne A, Bautista Evangeline C, Fernandez Zenaida S, Ramirez Debbie Q

机构信息

College of Nursing, Angeles University Foundation, Angeles City, Philippines.

出版信息

Belitung Nurs J. 2024 Jun 28;10(3):294-303. doi: 10.33546/bnj.3258. eCollection 2024.

DOI:10.33546/bnj.3258
PMID:38947298
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11211739/
Abstract

BACKGROUND

Effective communication is vital in nursing, influencing patient safety, satisfaction, and care quality. The AIDET framework is a proven tool for reducing patient anxiety and enhancing their experience. However, perceptions and experiences of Filipino nursing students with AIDET remain unexplored.

OBJECTIVE

This study explored Filipino nursing students' use of AIDET, focusing on benefits, challenges, and improvements.

METHODS

A qualitative, interpretive phenomenological approach informed by the philosophy of Martin Heidegger was employed. This 2023 study, conducted at a university in Angeles City, Philippines, explored Filipino nursing students' experiences with the AIDET communication framework. Thirty participants were purposefully selected to participate in facilitated discussions following a semi-structured interview guide. Thematic content analysis of the transcribed audio recording identified recurring themes in their narratives, focusing on the meanings they ascribed to their experiences using AIDET.

RESULTS

Four themes emerged: (a) Streamlined nurse-patient interaction (organizes communication, rapport building, alleviate anxiety, acknowledgment, and empowerment as sub-themes), (b) Enhances patient-centered care (empathy and compassion, improved patient experience as sub-topics), (c) Challenges with specific patient populations (patient preferences, language barrier, patient condition, acknowledgment of cultural differences as sub-themes), and (d) AIDET in nursing education strengthening application through practice, optimizing frequency and timing, promoting deeper understanding, enhancing feedback mechanism) as student nurses' recommendations.

CONCLUSION

Early integration of AIDET in nursing education is essential for student nurses to enhance communication, improve patient satisfaction, and deliver patient-centered care, equipping them with valuable communication skills.

摘要

背景

有效的沟通在护理工作中至关重要,它会影响患者安全、满意度和护理质量。AIDET框架是一种经证实的可减少患者焦虑并提升其体验的工具。然而,菲律宾护理专业学生对AIDET的看法和体验仍未得到探索。

目的

本研究探讨菲律宾护理专业学生对AIDET的使用情况,重点关注其益处、挑战和改进方面。

方法

采用以马丁·海德格尔哲学为指导的定性、解释性现象学方法。这项2023年在菲律宾安吉利斯市一所大学进行的研究,探索了菲律宾护理专业学生在AIDET沟通框架方面的经历。按照半结构化访谈指南,有目的地挑选了30名参与者参加引导式讨论。对转录的音频记录进行主题内容分析,确定他们叙述中反复出现的主题,重点是他们对使用AIDET的经历所赋予的意义。

结果

出现了四个主题:(a)简化护患互动(组织沟通、建立融洽关系、减轻焦虑、确认和赋权为子主题),(b)加强以患者为中心的护理(同理心和同情心、改善患者体验为子主题),(c)特定患者群体面临的挑战(患者偏好、语言障碍、患者病情、承认文化差异为子主题),以及(d)护理教育中的AIDET通过实践加强应用、优化频率和时机、促进更深入理解、增强反馈机制)作为学生护士的建议。

结论

在护理教育中尽早融入AIDET对于学生护士增强沟通能力、提高患者满意度并提供以患者为中心的护理至关重要,能使他们具备宝贵的沟通技能。