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Divergent views of hope influencing communications between parents and hospital providers

机译：影响父母与医院提供者之间沟通的希望的分歧观点

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摘要

This study evaluated parents' and health care providers' (HCPs) descriptions of hope following counseling of parents at risk of delivering an extremely premature infant. Data came from a longitudinal multiple case study investigation that examined the decision making and support needs of 40 families and their providers. Semistructured interviews were conducted before and after delivery. Divergent viewpoints of hope were found between parents and many HCPs and were subsequently coded using content analysis. Parents relied on hope as an emotional motivator, whereas most HCPs described parents' notions of hope as out of touch with reality. Parents perceived that such divergent beliefs about the role of hope negatively shaped communicative interactions and reduced trust with some of their providers. A deeper understanding of how varying views of hope might shape communications will uncover future research questions and lead to theory-based interventions aimed at improving the process of discussing difficult news with parents.
机译：这项研究评估了父母和医疗保健提供者（HCP）在对有分娩危险的父母的辅导后的希望描述。数据来自一项纵向多案例研究调查，该调查研究了40个家庭及其提供者的决策和支持需求。分娩前后进行半结构式访谈。在父母和许多HCP之间发现了不同的希望观，随后使用内容分析将其编码。父母依靠希望作为情感动机，而大多数HCP则将父母的希望概念描述为与现实脱节。父母认为，关于希望作用的这种分歧信念负面地影响了交流互动，并降低了与某些提供者的信任。对希望的不同观点如何影响交流的更深入了解将发现未来的研究问题，并导致基于理论的干预，旨在改善与父母讨论困难新闻的过程。

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