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医疗机构在儿科重症监护病房的沟通体验:一项现象学研究。

Healthcare providers' communication experience in the pediatric intensive care unit: a phenomenological study.

机构信息

College of Nursing Science, Sungshin Women's University, 55, Dobong-ro 76ga-gil, Gangbuk- gu, Seoul, Republic of Korea.

College of Nursing, Seoul National University, 103, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.

出版信息

BMC Health Serv Res. 2024 Aug 20;24(1):956. doi: 10.1186/s12913-024-11394-1.

Abstract

BACKGROUND

Healthcare providers must effectively communicate with other professionals, multidisciplinary teams, and parents of patients in pediatric intensive care units (PICUs) to improve outcomes in children and satisfaction levels of parents. Few studies have focused on healthcare providers' communication experiences, which are crucial for identifying current problems and suggesting future directions. This phenomenological study was conducted to address this gap.

METHODS

A qualitative study using online and face-to-face interviews was conducted from January to June 2021 by a trained researcher in PICUs of two tertiary hospitals. Participants were five physicians and four registered nurses who worked in the PICUs and had over five years of clinical experience. The interviews were audio recorded with the participant's consent and analyzed by the researchers using Colaizzi's seven-step method.

RESULTS

Healthcare providers' communication experiences revealed four categories: facing communication difficulties in PICUs, communication relying on individual competencies without established communication methods, positive and negative experiences gained through the communication process, and finding the most effective communication approach.

CONCLUSIONS

Without adequate support or a systematic training program, healthcare providers often have to overcome communication challenges on their own. Therefore, support and training programs should be developed to facilitate better communication in the future.

摘要

背景

医疗保健提供者必须与儿科重症监护病房(PICU)中的其他专业人员、多学科团队和患者的家长进行有效的沟通,以改善儿童的预后和家长的满意度。很少有研究关注医疗保健提供者的沟通经验,这些经验对于确定当前的问题和提出未来的方向至关重要。本现象学研究旨在弥补这一空白。

方法

2021 年 1 月至 6 月,一名经过培训的研究人员在两家三级医院的 PICU 中进行了一项定性研究,采用在线和面对面访谈的方式。参与者为五名医生和四名在 PICU 工作、具有五年以上临床经验的注册护士。在参与者同意的情况下,对访谈进行了录音,并由研究人员使用 Colaizzi 的七步方法进行分析。

结果

医疗保健提供者的沟通经验揭示了四个类别:在 PICU 中面临沟通困难、沟通依赖于个人能力而没有既定的沟通方法、通过沟通过程获得的积极和消极经验以及找到最有效的沟通方法。

结论

如果没有足够的支持或系统的培训计划,医疗保健提供者往往不得不自己克服沟通挑战。因此,应该制定支持和培训计划,以便在未来促进更好的沟通。

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