儿科护患沟通中的影响因素及对策

针对儿科护理工作的特殊性对儿科护理中影响护患沟通的因素进行综述,包括超负荷的工作状态、嘈杂的工作环境、护士缺乏有效促进沟通的技巧、患儿的依从性差、患儿家长对医护工作不理解等。提出针对特殊护理对象应合理配置护理人员,改善工作环境,提高护士的自身素质,合理运用沟通技巧等,从而促进儿科护患沟通顺利进行。     

应用护患沟通技巧提高妇科优质护理水平的探讨

总结护患沟通技巧在提高妇科优质护理工作中的应用。对笔者所在医院妇科2014年1月至12月收治的645例患者应用护患沟通技巧,包括语言沟通、非语言沟通、健康教育和护理操作取信患者的沟通。认为掌握和运用护患沟通技巧,有利于提高优质护理水平。正确的护患沟通能提高护士的工作热情,满足患者和护士的心理需要,使患者有良好的心态配合治疗和护理,可构建温馨和谐的护患关系,提高患者对临床护理工作的满意度。     

感染科护患沟通的影响因素及对策

目的分析感染科护理工作中影响护患沟通的因素及探讨改善医患沟通的对策。方法随机选择我科5名责任护士及其主管的8名患者进行问卷调查,5名责任护士主要调查护患交流时间及护患沟通技巧重视度,并调查所选40名患者对护理工作的满意度,分析护患交流时间及护患沟通技巧与患者满意度之间的关系。结果护患沟通时间及护患沟通技巧重视度与患者满意度均存在直线相关,即护患沟通时间越长,患者满意程度越高;护士对沟通技巧重视度越高,患者满意程度越高。结论临床护理工作中,重视提高护患沟通时间及沟通技巧可大大提高患者对护理工作的满意度。     

护患沟通在军队干部病房护理工作中的应用

探讨军队干部病房护理工作中护患沟通的重要性,通过社会环境、护士的整体素质、适时运用语言及非语言沟通技巧,有效减少护患纠纷,提高病人的满意度,提升护理质量,促进病人的康复。     

浅谈护患关系与沟通技巧

随着医学模式的转变及整体护理的深入开展,护士在临床护理过程中与病人的交流也越来越多。作为现代护理人员如何通过与病人进行良好沟通,实现整体护理的目标,是现代护士应该掌握的基本技能。本文就护患关系概念、特点、如何建立良好的护患关系、护患沟通的形式、护患沟通的技巧及影响护患沟通的因素进行了探讨,有助于护理人员对沟通的意义和概念有所认识,在护理工作中与病人沟通时可根据沟通的原则,有意识运用一些沟通技巧,搞好护患关系,提高护理质量。     

非语言沟通在外宾患者临床护理中的应用

目的 探讨外宾患者临床护理中应用非语言沟通的技巧和方法,保证护理工作顺利进行,提高对外宾患者护理服务质量.方法 总结我科收治的96例外宾患者的护理体会,护理中运用非语言沟通方式,通过创造舒适的住院环境、友善而亲切的眼神传递、温和的面部表情、肢体语言的应用、熟练的技术操作、与翻译及家属沟通协调、护士提高自我意识等非语言沟通技巧实施护理工作.结果 沟通后降低了患者对医院的惧怕生疏感,增加了安全感、亲切感和对护士的信任感,患者能积极主动配合治疗和护理.结论 非语言沟通与语言沟通一样在外宾护理工作中起着不可忽视的作用,可改善护患关系,提高护士在患者心目中的地位,提高护理工作的质量.     

护患沟通技巧在临床护理中的作用

目的在临床护理中实施护患沟通,以防止护患纠纷发生和提高护士业务水平。方法在临床护理中采用非语言沟通、预防性沟通、集体沟通、书面沟通、统一沟通等多种方法进行护患沟通。结果护患关系和谐,医疗纠纷明显下降,整体护理效果提高。结论护士是医疗活动中医患沟通的桥梁,合理运用护患沟通技巧,是提供护理优质服务、融洽护患关系和减少纠纷、提高医护质量的关键。     

沟通技巧在护患交流中应用情况的调查

目的了解沟通技巧在临床工作中的实际应用情况,找出其中的薄弱之处,为下一步如何将沟通技巧更恰当地应用到实际工作中去提供真切的参考依据,也为进一步改善护患关系,促进护患沟通做出贡献。方法在病房发放自行设计的问卷100份,向50例患者和50名护士进行问卷调查。调查内容:①护患沟通的时间;②沟通技巧的重要性;③各种沟通技巧在护患沟通中应用的调查情况,包括对患者的称呼、运用尊重性语言、耐心宣教的落实、倾听、平易近人和鼓励性语言;④患者的满意度。结果回收有效问卷96份,其中护士50份,患者46份。护士与患者沟通交流的时间过短,对患者的称呼不够尊重,倾听患者的心声不够,态度不够亲切、平易近人。结论护士应努力提高沟通交流技巧的应用能力,发展及促进良好的护患关系,提高护理质量,提高患者满意度,使患者真正接受整体护理。     

肿瘤患者沟通的影响因素及对策

综述了肿瘤患者沟通的影响因素,提出对肿瘤患者及其家属进行心理干预,重视护患沟通,提高沟通技巧,增加护理人力资源以及多元文化沟通等促进护患交流的对策,以提高临床护士与肿瘤患者的沟通技巧。     

非语言沟通在骨科外籍患者护理中的应用

目的:探讨非语言沟通技巧在骨科外籍患者护理中的应用效果.方法:对28例骨科外籍患者的护理方法进行总结,分析和总结面部表情、身体语言、眼神接触、人际距离、人体接触、护士的仪表、环境的安排等非语言沟通技巧和经验.结果:通过非语言沟通技巧的应用,能够弥补语言沟通不足的障碍,建立良好的护患信任关系.结论:在骨科外籍患者护理中,充分发挥非语言沟通的优势,能够突破外籍患者护理的困境,有利于提升护理质量,提高外籍患者及家属的满意度.     

重症监护室护士护患沟通影响因素的质性研究

目的探讨影响监护室护士护患沟通的因素。方法采用质性研究中的诠释现象学理论,对10名监护室护士深入访谈,将获得的资料进行分析、整理,归纳出主题。结果影响监护室护患沟通因素有监护室患者病情危重、护士知识缺乏、护理工作量大、护士非语言沟通技能缺乏、沟通环境不良。结论监护室护患沟通存在诸多影响因素,提升护士主动沟通意识和沟通技能,以提高监护室护理服务质量。     

实习护生护患沟通能力培养的研究进展

护患沟通能力是护生在实习过程中必须掌握的基本技能之一。从实习护生沟通能力测评工具、沟通能力现状、沟通能力影响因素、沟通能力培养实践等方面阐述实习护生护患沟通能力培养的现状,讨论在临床实习过程中如何提高护生的护患沟通水平。     

Providing psychological support for patients with cancer

This article focuses on the communication skills required to provide psychological support to cancer patients. The article explores factors that reduce the effectiveness of communication skills in the practice environment and indicates how nurses can improve their ability to be supportive.     

医学生与老年患者交流／沟通问题的调查分析

目的调查分析医学生与老年患者交流／沟通的现状,以提高医学生的医患沟通技能。方法对90名医学实习生进行问卷调查,数据录入和分析采用SPSS13．0软件。结果医学生对医患交流／沟通的重要性有一定认识,但在沟通的主动性上不够充分;对于医患沟通内容和背景知识的准备还远远不够。结论应加强对医学生交流／沟通技能的培养,培养适合现代医学模式的高级医学人才。     

影响护生术前访视效果的调查

目的调查影响护生术前访视效果的因素,提高护生整体护理质量。方法36名护生在老师指导下对636例住院手术病人进行术前访视,师生对术前访视的影响因素进行观察和总结。结果访视中护患合作好,无护患纠纷发生。结论心理健康、身体状况、交流技巧、环境适应、角色适应是影响护生术前访视质量的主要因素。     

Student nurses’ experiences of communication in cross‐cultural care encounters

Scand J Caring Sci; 2010; 24; 436–444
Student nurses’ experiences of communication in cross‐cultural care encounters Background: Communication is a fundamental component of cross‐cultural care encounters. Nurses experience communication difficulties in situations where they do not speak the same language as their patients. Communication difficulties are a major obstacle for immigrant patients and can lead to insufficient information and poor quality nursing care in contrast to the majority population. Aim: To explore student nurses’ experiences of communication in cross‐cultural care encounters. Methods: Semi‐structured interviews were undertaken a purposive sample of 10 final year students from one university in Sweden: five participants were from a Swedish background and five from an immigrant background. Interviews explored participant’s experiences of communication in cross‐cultural care encounters. Interviews were tape recorded, transcribed and analysed using ‘framework’ approach. Results: Four themes were identified: conceptualizing cross‐cultural care encounters, difficulties in communication, communication strategies and factors influencing communication. ‘Culture’ was equated with country of origin. Cross‐cultural care encounters involved patients from a different immigrant background to the nurse. Student nurses experienced particular difficulties communicating with patients with whom they did not share a common language. This led to care becoming mechanistic and impersonal. They were fearful of making mistakes and lacked skills and confidence in questioning patients. Various strategies were used to overcome communication barriers including the use of relatives to interpret, nonverbal communication, gestures and artefacts. Other factors which influenced communication included the student’s attitude, cultural knowledge acquired through education and life experience. Conclusion: Although student nurses seek creative ways to communicate with patients from different cultural backgrounds they lack skills and confidence in cross‐cultural communication. Nursing programmes need to address this deficit to ensure that nurses are equipped with the knowledge and skills to provide quality care to patients from different cultural backgrounds.     

护生实习前临床沟通能力及影响因素分析

目的：调查护生实习前临床沟通能力现状,并分析其影响因素。方法选取2012年7月即将进入实习的中职和高职学生共263名作为研究对象,采用一般资料调查表、一般自我效能量表和护生临床沟通能力测评量表进行调查。结果护生临床沟通能力总分为（82．56±8．87）分,其中共同参与得分率最低,验证感受和传递信息次之,敏锐倾听得分率最高。学生一般自我效能总分为（2．37±0．49）分。影响护生临床沟通能力的主要因素有与老师的关系、一般自我效能、是否为学生干部、与患者的关系和报考意愿5项,可解释临床沟通能力总变异量的20．7％。结论护生实习前临床沟通能力处于中等水平,在开展人际沟通、护理礼仪等课程的同时,采取多种措施增进护生与老师的关系、提高其自我效能感、鼓励其参加学生管理工作、增加护生与患者交流机会、培养其对本专业的职业认同感,可提高护生临床沟通能力。     

Factors that enable nurse-patient communication in a family planning context: a positive deviance study

BACKGROUND: Family planning programmes in developing countries need a better understanding of nurse-patient communication in order to improve the quality of counselling. OBJECTIVES: To identify factors in the clinic and in the community that enable nurses and patients to communicate effectively with one another. DESIGN: The study explored the personal experiences of nurses and patients who communicate especially effectively during family planning consultations (so-called "positive deviants"). SETTING: Sixty-four randomly selected public clinics located in East Java, Indonesia. PARTICIPANTS: Seven positive deviant nurses and 32 positive deviant patients were identified from among 64 nurses and 768 patients who participated in an earlier patient coaching study. Flooding prevented 5 patients from participating in the study, reducing their number to 27. METHODS: Investigators conducted: (1) a content analysis of qualitative data collected by structured in-depth interviews and focus-group discussions (FGDs) with positive deviant nurses and patients, and (2) analyses of variance (ANOVA) of quantitative data on clinic, nurse, and patient characteristics. RESULTS: Positive deviant nurses identified four factors, listed in rough order of importance, that helped them communicate effectively: independent study to strengthen their knowledge and skills; communication aids; feedback from colleagues; and motivation stemming from a desire to help people, patients' appreciation, husband's support, and increased income. Positive deviant patients identified five enabling factors: motivation due to their need for a service; confidence in their own communication skills; positive feedback from nurses; belief in patients' right and responsibility to communicate with nurses; and communication aids. CONCLUSIONS: Insights from positive deviant nurses and patients suggest that efforts to improve nurse-patient communication should go beyond conventional communication skills training. Managers should consider a mix of clinic-based interventions (such as peer feedback, communication aids, and better management of patient flow) and community-based interventions (such as patient education and mass media).