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首页> 外文期刊>The American journal of hospice and palliative care >Understanding Enrollment Conversations: The Role of the Hospice Admissions Representative
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Understanding Enrollment Conversations: The Role of the Hospice Admissions Representative

机译：了解入学对话：临终关怀招生代表的作用

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Nonpar ticipant observation was undertaken to understand how barriers are discussed and managed in initial hospice enrollment conversations between patients, families, and hospice admission representatives. The first author observed patient/family and hospice admission representative interactions, interviewed hospice admission representatives, and attended monthly hospice meetings for a total of 37 hours of observation. Findings indicate that patients and a primary family member take on particular roles during these initial conversations. Based on the roles adopted by the patient and the family, the hospice admission representative engaged in 1 of 3 types of talk: (1) enrollment talk, (2) reassurance talk, or (3) informative talk. When engaging in enrollment conversations with families, hospice admission representatives direct their comforting statements toward reappraising uncertainty about hospice and uncertainty about death and dying.
机译：进行了不平常的参与观察，以了解在患者，家属和临终关怀代表之间进行临终临终关怀对话时如何讨论和处理障碍。第一作者观察了患者/家庭和临终关怀代表的互动，采访了临终关怀代表，并参加了每月临终关怀会议，共观察了37个小时。调查结果表明，患者和主要家庭成员在这些最初的对话中扮演着特定的角色。根据患者和家庭所扮演的角色，临终关怀住院代表进行以下三种对话中的一种：（1）注册对话，（2）保证对话或（3）有益对话。在与家人进行入学谈话时，临终关怀代表将他们的安慰声明指向重新评估临终关怀的不确定性以及死亡和死亡的不确定性。

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