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首页> 外文期刊>Scandinavian journal of caring sciences. >Balancing task focus and relationship building: asking sleepy patients about traffic risk in treatment initiation consultations
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Balancing task focus and relationship building: asking sleepy patients about traffic risk in treatment initiation consultations

机译：平衡任务焦点和关系建设：求昏昏欲睡的患者在治疗启动咨询中的交通风险

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Background The use of traffic risk assessment questions is an understudied area in nursing research. Obstructive sleep apnoea is associated with an increased risk of traffic accidents. Therefore, traffic safety authorities demand adherent continuous positive airway pressure use. Nurses act as coaches to achieve treatment adherence, but they are also obliged to act as state agents by prohibiting obstructive sleep apnoea patients from drowsy driving. Objective To examine how nurses and obstructive sleep apnoea patients manage traffic risk assessment questions in the relation‐building context of treatment initiation consultations. Methods To study, in detail, the actual practice of risk assessment, we used conversation analysis of 19 video‐recorded initial treatment consultations with nurses and recently diagnosed obstructive sleep apnoea patients. Ethics The study received ethical approval from the Central Ethical Review Board in Link?ping (registration number 214/231‐32) and follows the ethical guidelines for qualitative research. Results Patients influence how nurses phrase questions about traffic risk by taking a stance to daytime sleepiness prior to the risk question. Nurses ask traffic risk questions in a way that assumes that driving is unproblematic if patients have not previously indicated problems. It may pose a significant problem when nurses, by accepting patients’ prior stance when asking about traffic risk, orient to relationship building rather than task focus. Conclusion To clarify the difference between their two potentially conflicting roles, nurses need to refer to existing laws and official guidelines when they raise the issue of risk in treatment initiation consultations. Nurses should also ask risk assessment questions in a problem‐oriented communicative environment. Traffic risk assessment is sensitive yet important, as obstructive sleep apnoea is a highly prevalent problem causing excessive sleepiness. It is essential to acknowledge nurses’ double roles with regard to coaching continuous positive airway pressure treatment and assessing traffic risk.
机译：背景技术交通风险评估问题是护理研究中的一个被解读的地区。阻塞性睡眠呼吸暂停与交通事故的风险增加有关。因此，交通安全机构要求贴合的连续正气道压力使用。护士担任教练来实现治疗依从性，但它们也有义务通过禁止昏昏欲睡的驾驶患者禁止阻塞性睡眠呼吸暂停患者作为状态药物。目的探讨护士和阻塞性睡眠呼吸暂停患者如何管理治疗启动磋商的关系建设背景下的交通风险评估问题。详细研究了风险评估的实际实践的方法，我们使用与护士和最近诊断的阻塞性睡眠呼吸暂停患者的19次视频录制的初始治疗咨询的对话分析。道德学习从链接中的中央道德审查委员会获得道德批准？Ping（注册号214/231-32），并遵循定性研究的道德准则。结果患者通过在风险问题之前对白天嗜睡进行阶段来影响护士问题的问题。护士以一种假设患者在此之前表明问题的情况下承担驾驶是未伪造的方式的交通风险问题。当护士时，通过接受患者在询问交通风险，定向到关系建设而不是任务焦点时，可能会产生重大问题。结论澄清其两个潜在相互矛盾的角色之间的差异，护士需要提及在提出治疗启动磋商中的风险问题时提及现有法律和官方指导方针。护士还应在面向问题的交流环境中向风险评估问题提出风险评估问题。交通风险评估很敏感，重要的是，由于阻塞性睡眠呼吸暂停是一种非常普遍的问题，导致过度困倦。必须承认护士的双重作用，以便在持续积极的气道压力处理和评估交通风险方面。

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