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《“告诉我更多”作为医护人员与住院患者建立联系的工具:一项混合方法研究》

Tell Me More As A Tool for Provider Connectedness With Hospitalized Patients: A Mixed-Methods Study.

作者信息

Belin Bryana, Aron Ishi, Bhagat Shyam, Fornari Alice, Ahuja Taranjeet K

机构信息

Northwell, New Hyde Park, NY.

Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.

出版信息

J Patient Exp. 2024 Aug 16;11:23743735241272167. doi: 10.1177/23743735241272167. eCollection 2024.

DOI:10.1177/23743735241272167
PMID:39157763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329894/
Abstract

Rates of burnout and compassion fatigue in healthcare professionals have remained high since the beginning of the pandemic with adverse implications for patient care. Tell Me More (TMM) is a tool licensed by the Gold Foundation, which was created with the purpose of helping patients, caregivers, and hospital staff to connect with each other on a humanistic level. Research has shown the benefits of the TMM with students and anecdotally with patients. This mixed-method study, which consisted of surveys and semistructured interviews with healthcare professionals (n = 72), sought out to understand the impact of implementation of TMM on a hospital floor. Surveys were distributed before and after the occurrence of TMM with interviews only occurring afterward. Three out of 8 survey items were found to be significant. Content analysis from interviews generated 4 themes from participants which included "Connectedness to Patient," "Separation of Person and Illness," "Communication with Patient's Support Network," and "Connectedness with Non-Verbal Patients." TMM is a useful tool for strengthening provider-patient relationships in hospital settings and may therefore lessen compassion fatigue and burnout.

摘要

自疫情开始以来,医疗保健专业人员的职业倦怠和同情疲劳率一直居高不下,这对患者护理产生了不利影响。“告诉我更多”(Tell Me More,TMM)是一项获得戈尔德基金会授权的工具,其创建目的是帮助患者、护理人员和医院工作人员在人文层面上相互联系。研究表明,TMM对学生有益,并且在患者中也有一些实例证明其益处。这项混合方法研究包括对医疗保健专业人员(n = 72)进行的调查和半结构化访谈,旨在了解在医院病房实施TMM的影响。在TMM实施前后分发了调查问卷,访谈仅在实施后进行。发现8个调查项目中有3个具有显著性。访谈的内容分析从参与者中产生了4个主题,包括“与患者的联系”、“人与疾病的分离”、“与患者支持网络的沟通”以及“与非语言患者的联系”。TMM是加强医院环境中医患关系的有用工具,因此可能会减轻同情疲劳和职业倦怠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ebb/11329894/33d589919930/10.1177_23743735241272167-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ebb/11329894/33d589919930/10.1177_23743735241272167-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ebb/11329894/33d589919930/10.1177_23743735241272167-fig1.jpg

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本文引用的文献

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Chain mediations of perceived social support and emotional regulation efficacy between role stress and compassion fatigue: insights from the COVID-19 pandemic.感知社会支持和情绪调节效能在角色压力与职业耗竭之间的链式中介作用:来自 COVID-19 大流行的启示。
Front Public Health. 2023 Nov 13;11:1269594. doi: 10.3389/fpubh.2023.1269594. eCollection 2023.
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Better outcomes through patient - Provider therapeutic connections? An exploratory study of proposed mediating variables.通过医患治疗关系实现更好的结果?中介变量的探索性研究。
Soc Sci Med. 2023 Dec;338:116290. doi: 10.1016/j.socscimed.2023.116290. Epub 2023 Oct 15.
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Empathic nurses with sufficient job resources are work-engaged professionals who deliver more individualized care.
富有同理心且拥有足够工作资源的护士是敬业的专业人士,他们提供更具个性化的护理。
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Health Expect. 2023 Jun;26(3):1137-1148. doi: 10.1111/hex.13728. Epub 2023 Feb 16.
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Early Career Burnout in Nursing.护理人员职业早期倦怠。
Nurs Clin North Am. 2022 Mar;57(1):21-28. doi: 10.1016/j.cnur.2021.11.002. Epub 2022 Feb 8.
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The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic.2019年冠状病毒病大流行对医护人员职业倦怠、同情疲劳和同情满足感的影响:对大流行第一年发表文献的系统评价
Healthcare (Basel). 2022 Feb 13;10(2):364. doi: 10.3390/healthcare10020364.
7
Tell Me More®: A medical student focused humanistic communication model to enhance student professional identity formation through meaningful patient encounters.告诉我更多®:一种以医学生为中心的人文沟通模式,通过有意义的医患互动促进学生职业认同感的形成。
Patient Educ Couns. 2022 Mar;105(3):641-646. doi: 10.1016/j.pec.2021.06.031. Epub 2021 Jul 6.
8
The Effects of Mindfulness Meditation on Stress and Burnout in Nurses.正念冥想对护士压力和倦怠的影响。
J Holist Nurs. 2021 Dec;39(4):356-368. doi: 10.1177/08980101211015818. Epub 2021 May 17.
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Relationship between nurse burnout, patient and organizational outcomes: Systematic review.护士职业倦怠与患者及组织成果之间的关系:系统评价
Int J Nurs Stud. 2021 Jul;119:103933. doi: 10.1016/j.ijnurstu.2021.103933. Epub 2021 Mar 26.
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