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Nurses' Experiences of Communicating With Hospitalized, Suddenly Speechless Patients

机译：护士与住院突然无语的患者交流的经验

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摘要

We used a qualitative focus group design to explore the experiences and challenges of nurses who work with hospitalized patients experiencing the sudden inability to verbalize their needs, also known as sudden speechlessness. In response to open-ended questions in facilitated focus groups, 18 nurses discussed issues around the care and communication needs of suddenly speechless (SS) patients. Nurses identified multiple, commonly occurring communication challenges when caring for SS patients. They believed these challenges led to poorer recognition of patient needs, with the potential for compromised patient care. Nurses described how the lack of reliable strategies to facilitate communication sometimes resulted in negative patient outcomes, including unmet psychosocial needs and the potential that informed consent and educational issues were being inadequately addressed for the SS patients. Even experienced nurses indicated ongoing problems in communicating with SS patients, despite using a multitude of strategies, leaving many to deal with issues of frustration and role conflict.
机译：我们使用定性焦点小组设计来探索与住院患者一起工作的护士的经验和挑战，这些患者经历了突然无法表达自己的需求（也称为突然无语）。针对便利焦点小组中的开放式问题，18位护士讨论了突然无语（SS）患者的护理和沟通需求的问题。护士在照顾SS患者时发现了多个常见的沟通挑战。他们认为，这些挑战导致对患者需求的认识较差，并有可能损害患者的护理。护士们描述了缺乏可靠的策略来促进沟通有时会导致负面的患者结果，包括未满足的社会心理需求，以及SS患者无法充分解决知情同意和教育问题的可能性。即使有经验的护士也指出，尽管使用了多种策略，但与SS患者进行交流时仍存在问题，从而使许多人不得不处理沮丧和角色冲突的问题。

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