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家庭会议作为医院环境中决策的论坛。

Family conferences as forums for decision making in hospital settings.

作者信息

Hansen P, Cornish P, Kayser K

机构信息

Family and Children's Services, Western Australia.

出版信息

Soc Work Health Care. 1998;27(3):57-74. doi: 10.1300/J010v27n03_04.

DOI:10.1300/J010v27n03_04
PMID:9654615
Abstract

Social workers in hospitals are often involved in family conferences where patient, family members and hospital personnel meet together to exchange information about the patient's condition and to plan for the future. In this paper the complexities of these meetings as decision making arenas are discussed and an outline of the three phases of family conferences--preparation, the conference meeting and follow up--is presented. The final section reports on an exploratory review of recent conferences as perceived by social workers from an acute and rehabilitation teaching hospital. The social workers' comments indicate that the conferences achieve the desired outcomes, especially for hospital staff. In this hospital the conferences are more often used for providing family members with information, and for collective decision making about the patient's future care, than for providing information to the patients about their illness and treatment.

摘要

医院中的社会工作者经常参与家庭会议,在这些会议中,患者、家庭成员和医院工作人员聚在一起,交流有关患者病情的信息,并为未来制定计划。本文讨论了这些会议作为决策场所的复杂性,并概述了家庭会议的三个阶段——准备、会议进行和后续跟进。最后一部分报告了一家急症与康复教学医院的社会工作者对近期会议的探索性评估。社会工作者的评论表明,这些会议达到了预期的效果,尤其是对医院工作人员而言。在这家医院,会议更多地用于向家庭成员提供信息,以及就患者未来的护理进行集体决策,而不是向患者提供有关其疾病和治疗的信息。

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