表达父母的感受:分析新生儿家庭综合护理中家长与护士的对话,开展沟通培训

Lotte van Burgsteden , Joyce Lamerichs , Annemarie Hoogerwerf , Hedwig te Molder , Miranda de Jong
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引用次数: 0

摘要

目的 家庭综合护理(FICare)这一新理念要求护士在新生儿护理中成为父母的合作伙伴。我们结合对现实生活中父母与护士对话和访谈的分析,阐明了护士在为父母提供心理支持方面所扮演的角色。结果在家长与护士的对话中,护士在表达家长感受时表现出 "平衡行为",揭示了处理家长感受的复杂性。总体而言,家长肯定了护士的表述,但也对其进行了扩展或修改,或表示对话空间受限。在访谈中,护士讨论了与家长谈话的四个目的,强调了阐述家长的感受,同时讨论了相关的挑战。结论我们的谈话分析揭示了护士对家长感受表述的连续性,护士的反思阐明了如何以及何时使用表述来邀请家长 "谈感受"。此外,它还开创性地将这些分析与访谈结合起来,邀请护士反思如何将研究结果融入家庭护理中。这种结合为开发量身定制的沟通培训提供了有力信息,并从真实的对话和护士明确的需求中汲取了灵感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Formulating parents' feelings: Analyzing parent-nurse conversations in family-integrated neonatal care to develop communication training

Objective

The novel concept of Family-Integrated Care (FICare) requires nurses to be parents' partners in neonatal care. We combined analyses of real-life parent-nurse conversations and interviews to elucidate nurses' role in providing psychosocial support to parents. Findings inform the development of communication training on topicalizing parents' feelings.

Methods

Conversation analysis of 15 audio-recorded parent-nurse conversations, and thematic analysis of interviews with 2 nurses.

Results

In parent-nurse conversations, nurses showed a “balancing act” in formulating parents' feelings, revealing the complexities of addressing parents' feelings. Overall, parents confirmed nurses' formulations, but also expanded or modified them, or indicated restricted conversational space. In the interviews, nurses discussed four purposes of conversations with parents, emphasizing elaborating on parents' feelings, while discussing associated challenges.

Conclusion

Our conversation analysis revealed a continuum of nurses' formulations of parents' feelings, and nurses' reflections illuminated how and when the formulations were used to invite parents' “feelings talk”.

Innovation

This study is the first to use conversation analysis to analyze parent-nurse conversations. Additionally, it pioneers combining these analyses with interviews, inviting nurses to reflect on how to incorporate the findings into FICare. This combination strongly informs the development of tailored communication training, drawing from real-life conversations and nurses' articulated needs.

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来源期刊
PEC innovation
PEC innovation Medicine and Dentistry (General)
CiteScore
0.80
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