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对共情和富有同情心的医疗照护体验的认知:一项国际探索性定性描述性研究

Perceptions of Empathic and Compassionate Healthcare Encounters: An International Exploratory Qualitative Descriptive Study.

作者信息

Tunks Leach Katie J, Barker Mary-Ellen, Hales Caz, Holmberg Bodil, Holmberg Mats, Jakimowicz Samantha, Rook Helen, Sherwood Gwen, Streit Linda, Levett-Jones Tracy

机构信息

Faculty of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Australia.

Department for Continuing Education, University of Oxford, Oxford, UK.

出版信息

Scand J Caring Sci. 2025 Jun;39(2):e70006. doi: 10.1111/scs.70006.

Abstract

BACKGROUND

Empathy and compassion are integral to person-centred care. Contemporary literature also provides evidence of the impact of empathic and compassionate care on patient outcomes, including enhanced satisfaction with care and improved patient safety. Notably, a previous scoping review identified only a limited number of studies exploring patients' experiences of empathic and compassionate care, underscoring the need for further research on patients' and their significant others' perspectives and experiences of empathic and compassionate healthcare encounters.

OBJECTIVE

The aim of this paper is to explore patients' and their significant others' perceptions of empathic and compassionate healthcare encounters.

METHODS

This qualitative descriptive international survey recruited people who were willing to report on a personal experience with a healthcare professional that demonstrated positive or negative examples of empathic and/or compassionate care. Data were analysed using Framework Analysis.

RESULTS

A total of 84 participants from the Pacific region, the United States of America, and Europe reported encounters with nurses, doctors, allied health professionals, and multidisciplinary teams. Analysis revealed four overarching themes: (1) Verbal and non-verbal communication; (2) Clinician attitudes and attributes; (3) The power of small, thoughtful gestures; and (4) Enduring impact of empathic care.

CONCLUSIONS

To promote empathic and compassionate care, there needs to be a holistic focus on practitioner communication across the bio-psycho-social-spiritual domains. When these elements are included in interactions with patients and their significant others, healthcare providers can have a powerful and long-lasting impact on people's experiences and health outcomes.

摘要

背景

同理心和同情心是以人为本的医疗护理的核心要素。当代文献也证明了具有同理心和同情心的护理对患者治疗结果的影响,包括提高护理满意度和改善患者安全。值得注意的是,之前的一项范围综述发现,仅有数量有限的研究探讨了患者对具有同理心和同情心的护理的体验,这凸显了进一步研究患者及其重要他人对具有同理心和同情心的医疗护理接触的看法和体验的必要性。

目的

本文旨在探讨患者及其重要他人对具有同理心和同情心的医疗护理接触的看法。

方法

这项定性描述性国际调查招募了愿意报告其与医疗专业人员的个人经历的人,这些经历展示了具有同理心和/或同情心护理的正面或负面例子。使用框架分析法对数据进行分析。

结果

来自太平洋地区、美利坚合众国和欧洲的84名参与者报告了与护士、医生、专职医疗专业人员和多学科团队的接触。分析揭示了四个总体主题:(1)言语和非言语沟通;(2)临床医生的态度和特质;(3)体贴入微的小举动的力量;(4)同理心护理的持久影响。

结论

为了促进具有同理心和同情心的护理,需要全面关注生物-心理-社会-精神领域的从业者沟通。当这些要素纳入与患者及其重要他人的互动中时,医疗服务提供者可以对人们的体验和健康结果产生强大而持久的影响。

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本文引用的文献

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Nurse Educ Today. 2023 Dec;131:105957. doi: 10.1016/j.nedt.2023.105957. Epub 2023 Sep 16.
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