谵妄护理中谦逊探询的力量:加强沟通与合作,改善患者疗效

Mathias Schlögl
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引用次数: 0

摘要

在不断发展的老年医学领域,谵妄是一项持久的挑战。提高对此类患者护理水平的一种可行方法是 "谦虚探询 "艺术--即提出真正的、以好奇心为导向的问题。本文探讨了在麻省理工学院斯隆商学院埃德加-舍恩(Edgar Schein)的启发下,如何采用这种独特的沟通策略来彻底改变老年患者的谵妄管理。"谦逊探询 "为更好地了解患者及其家属的独特经历打开了一扇大门,它可以增进信任、促进合作,并允许采取量身定制的干预措施。通过深入了解患者的认知、情感和社会需求,它促进了个性化、富有同情心的护理。它还能减轻家属的情感负担,使他们有能力更多地参与病人护理。此外,谦逊探询还能加强医疗团队内部的沟通,打破等级壁垒,促进相互尊重和持续学习。这在谵妄管理中至关重要,有效的团队合作可确保及时诊断、适当干预和无缝护理过渡。尽管 "谦卑式探询 "大有可为,但它的采用也并非没有挑战。时间限制、繁重的工作量以及对既定方案的遵守可能会阻碍其实施。但是,在医疗机构、专业协会和政策制定者的支持下,可以将其付诸实施,优先考虑以患者为中心的护理。从本质上讲,"谦逊探询 "有可能通过培养好奇心、同理心和共同理解的文化来改变谵妄护理。这种方法的有效性需要严格的评估,为其在老年医学中的广泛应用奠定基础。与我们一起揭开谦逊和探究在彻底改变老年人谵妄护理方面的力量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Power of Humble Inquiry in Delirium Care: Enhancing Communication and Collaboration for Improved Patient Outcomes
In the ever-evolving field of geriatric medicine, delirium presents enduring challenges. A promising approach to enhance care for such patients lies in the art of “Humble Inquiry”—the practice of asking genuine, curiosity-driven questions. This paper explores how this unique communication strategy, inspired by MIT Sloan School’s Edgar Schein, can be employed to revolutionize the management of delirium in older patients. Humble Inquiry opens doors to better understanding the distinctive experiences of patients and their families, fostering trust, collaboration, and allowing for tailored interventions. By providing insights into patients’ cognitive, emotional, and social needs, it promotes personalized, compassionate care. It also reduces the emotional burden on families, empowering them to be more involved in patient care. Moreover, Humble Inquiry enhances communication within healthcare teams, breaking down hierarchical barriers and promoting mutual respect and continuous learning. This is critical in delirium management, where effective teamwork ensures timely diagnosis, appropriate interventions, and seamless transitions of care. Despite its promise, the adoption of Humble Inquiry is not without challenges. Time constraints, heavy workloads, and adherence to established protocols may hinder its implementation. However, with support from healthcare organizations, professional societies, and policymakers, it can be actualized to prioritize patient-centered care. In essence, Humble Inquiry has the potential to transform delirium care by fostering a culture of curiosity, empathy, and shared understanding. The effectiveness of this approach needs rigorous evaluation, setting the stage for its broader adoption in geriatric medicine. Join us as we unveil the power of humility and inquiry in revolutionizing delirium care for older adults.
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