"我们想当护士,因为我们想要人与人之间的联系":以人为本的叙事干预在急症护理环境中的可接受性和可用性。

IF 1.2 4区 医学 Q3 NURSING
Heather Coats, Nadia Shive, Bonnie Adrian, Ardith Z Doorenbos, Sarah J Schmiege
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引用次数: 0

摘要

在医疗保健中使用叙事干预是沟通患者与临床医生之间联系的有效方式。电子健康记录(EHR)是临床团队交流患者信息的主要方式。因此,在电子病历中加入以人为本、与患者共同创作的叙事,是分享个人文化价值观、信仰和偏好、提供联系以及促进患者与临床医生之间积极互动的一个机会。这项以人为本的叙事干预研究是一项随机对照试验,旨在测试干预对个人(患者)与护士沟通质量的感知及其社会心理和生存幸福感的影响。本文介绍了临床团队将以人为中心的共同创作叙事整合到患者电子病历中的经验和效果。收集的数据包括:(1)离职访谈(n = 14);(2)可用性调查(n = 8);(3)从电子病历中收集的临床医生(n = 600)访问上传叙述的数据。总体而言,系统可用性量表和护士参与者的经验证实,以人为本的叙事干预是可用的。医疗保健系统中也有跨专业的临床医生小组访问了叙事。未来的研究应继续确定在复杂的医疗环境中整合了电子病历的以人为本叙事的核心组成部分和实施策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"We Wanna Be Nurses Because We Want the Human Connection": Acceptability and Usability of a Person-Centered Narrative Intervention in an Acute Care Setting.

The use of narrative interventions in health care is an effective way to communicate connection between patients and clinicians. The electronic health record (EHR) is a primary mode of communicating patient information across clinical teams. Thus, incorporating a person-centered cocreated narrative with patients into the EHR is an opportunity to share a person's cultural values, beliefs, and preferences; provide connection; and foster positive patient-clinician interactions. This study of a person-centered narrative intervention was a randomized controlled trial to test intervention effects on the person's (patient) perceptions of the quality of communication with their nurses and their psychosocial and existential well-being. This article describes the clinical team's experiences and reach of the cocreated person-centered narrative integration into the patient's EHR. The data collected included (1) exit interviews (n = 14), (2) a usability survey (n = 8), and (3) data collected from the EHR for clinicians (n = 600) who accessed the uploaded narratives. Overall, the System Usability Scale and nurse participant's experiences provided confirmation that the person-centered narrative intervention was usable. There were also interprofessional groups of clinicians in the health care system who accessed the narratives. Future research should continue to identify core components and implementation strategies of EHR-integrated person-centered narratives in complex health care settings.

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来源期刊
CiteScore
2.60
自引率
11.10%
发文量
203
审稿时长
6-12 weeks
期刊介绍: Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and is the professional, peer-reviewed journal for nurses in hospice and palliative care settings. Focusing on the clinical, educational and research aspects of care, JHPN offers current and reliable information on end of life nursing. Feature articles in areas such as symptom management, ethics, and futility of care address holistic care across the continuum. Book and article reviews, clinical updates and case studies create a journal that meets the didactic and practical needs of the nurse caring for patients with serious illnesses in advanced stages.
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