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平衡障碍与策略——护士进行生活方式咨询的经验。

Balancing barriers and strategies - Nurses' experiences of conducting lifestyle counseling.

机构信息

The Research Environment PRO-CARE, Faculty of Health Sciences, Department of Nursing and Integrated Health Sciences, Kristianstad University, Kristianstad, Sweden.

Health center Årup, Bromölla, Sweden.

出版信息

Public Health Nurs. 2024 Nov-Dec;41(6):1526-1534. doi: 10.1111/phn.13417. Epub 2024 Sep 9.

DOI:10.1111/phn.13417
PMID:39248020
Abstract

OBJECTIVES

Over 70% of the disease burden in Europe is the result of chronic diseases caused by lifestyle. Lifestyle counseling can improve lifestyle habits and thereby health. However, according to research, there are several barriers to healthcare personnel carrying out counseling. The aim of this study was to explore nurses' experiences of conducting lifestyle counseling.

DESIGN

A qualitative descriptive study was conducted in southern Sweden between August 2021 and December 2021.

SAMPLE

Eleven nurses were recruited from both inpatient and outpatient care in northeastern Sweden through a combination of purposive and snowball sampling.

MEASUREMENTS

Individual semistructured interviews were performed digitally using an interview guide. The interviews were analyzed via qualitative content analysis.

RESULTS

The nurses experienced several challenges in performing lifestyle counseling. However, knowledge gaps, sensitive topics, organizational dynamics, and time constraints were balanced using strategies. The theme of their responses can be explained by the following categories: "Collaboration with patients is key," "From self-interest to teamwork," and "The organization can assist or hinder."

CONCLUSIONS

Lifestyle counseling needs to be prioritized within healthcare. Nurses need tools and knowledge to be able to feel comfortable with the task. All healthcare organizations need to work with lifestyle counseling in a structured way according to national guidelines.

摘要

目的

欧洲超过 70%的疾病负担是由生活方式引起的慢性病导致的。生活方式咨询可以改善生活习惯,从而促进健康。然而,根据研究,医护人员在开展咨询方面存在一些障碍。本研究旨在探讨护士进行生活方式咨询的经验。

设计

这是一项 2021 年 8 月至 12 月在瑞典南部进行的定性描述性研究。

样本

通过目的抽样和滚雪球抽样,从瑞典东北部的住院和门诊护理中招募了 11 名护士。

测量

采用访谈指南对 11 名护士进行了数字半结构化访谈。采用定性内容分析法对访谈进行分析。

结果

护士在进行生活方式咨询时遇到了一些挑战。然而,他们使用了一些策略来平衡知识差距、敏感话题、组织动态和时间限制。他们的回应主题可以用以下类别来解释:“与患者的合作是关键”、“从自身利益到团队合作”和“组织可以协助或阻碍”。

结论

生活方式咨询需要在医疗保健中优先考虑。护士需要工具和知识才能感到舒适地完成这项任务。所有医疗保健组织都需要根据国家指南以结构化的方式开展生活方式咨询。

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