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开展教育,以应对长期护理机构中佩戴口罩时进行双向沟通所面临的挑战。

Developing education to confront challenges with dyadic communication while wearing facemasks in long-term care.

作者信息

Shaw Clarissa A, Nakad Lynn, Richlen Melissa, Wilson Paige, Coleman Carissa, Williams Kristine N

机构信息

University of Iowa College of Nursing, 50 Newton Rd., Iowa City, IA, 52242 USA.

University of Iowa College of Nursing, 50 Newton Rd., Iowa City, IA, 52242 USA.

出版信息

Geriatr Nurs. 2025 Jul 15;65:103499. doi: 10.1016/j.gerinurse.2025.103499.

DOI:10.1016/j.gerinurse.2025.103499
PMID:40669131
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12302366/
Abstract

The purpose of this study was to develop and pilot test the web-based "CHATO-PPE" educational module that promotes successful communication with long-term care residents while wearing facemasks. A mixed-methods three phase approach was used that (1) identified best practices, needs, and preferences related to communication while wearing facemasks, (2) developed the CHATO-PPE module, and (3) evaluated the module using a one-group, pre-post design. Nineteen long-term care residents, long-term care staff, and family members of long-term care residents completed interviews or focus groups on needs and preferences of communication while wearing facemasks. Three themes were identified that were integrated into best-practices for communication with facemasks identified from a scoping review, which guided development of the module. Thirty-two long-term care staff completed CHATO-PPE and demonstrated a significant increase in confidence and identification of effective and appropriate verbal communication. Participants reported high satisfaction with CHATO-PPE, which equips nursing home staff with strategies that maintain person-centered communication while wearing facemasks.

摘要

本研究的目的是开发并进行基于网络的“CHATO-PPE”教育模块的试点测试,该模块旨在促进在佩戴口罩时与长期护理机构居民进行成功沟通。本研究采用了混合方法的三个阶段方法,即(1)确定与佩戴口罩时沟通相关的最佳实践、需求和偏好,(2)开发CHATO-PPE模块,以及(3)使用单组前后设计对该模块进行评估。19名长期护理机构居民、长期护理机构工作人员以及长期护理机构居民的家庭成员完成了关于佩戴口罩时沟通需求和偏好的访谈或焦点小组讨论。确定了三个主题,并将其整合到从范围综述中确定的与口罩沟通的最佳实践中,这些最佳实践指导了模块的开发。32名长期护理机构工作人员完成了CHATO-PPE模块,并在信心以及有效和恰当的言语沟通识别方面有显著提高。参与者对CHATO-PPE表示高度满意,该模块为养老院工作人员提供了在佩戴口罩时保持以人为主的沟通的策略。

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"Because if I don't hold his hand then I might as well not be there": Experiences of Dutch and UK care home visiting during the COVID-19 pandemic.“因为如果我不握住他的手,那我在那里就毫无意义了”:荷兰和英国养老院在新冠疫情期间的探访经历
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