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首页> 外文期刊>Palliative medicine >Observations of professional-patient relationships: A mixed-methods study exploring whether familiarity is a condition for nurses' provision of psychosocial support
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Observations of professional-patient relationships: A mixed-methods study exploring whether familiarity is a condition for nurses' provision of psychosocial support

机译：医患关系的观察：一项混合方法研究，探讨是否熟悉是护士提供心理支持的条件

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Background: There is a popular belief that the professionalpatient relationship is a prerequisite in the provision of psychosocial support. Studies suggest that professionals must know, or be familiar with, a patient in order to effectively provide psychosocial support. Aim: To examine the association between familiarity and the provision of psychosocial care by professionals. Design: A mixed-methods study involving participant observation, interviews and organisational and documentary analysis was conducted over 8 months in an inpatient hospice setting. Participants: In total, 38 nurses (registered and auxiliary) and 47 patients were included in a maximum variation sampling strategy. Data were analysed using both qualitative and quantitative techniques. Results: The data disconfirm the belief that familiarity is either a necessary or sufficient condition for the provision of psychosocial support. Nurses familiar with patients did not necessarily respond to patients psychosocial needs, and nurses with no prior contact with the patient immediately dealt with psychosocial needs. Conclusion: Psychosocial support can be provided on a patients first contact with a clinician and does not rely on building a professional-patient relationship. This suggests that high-quality psychosocial care can be provided in the short time frame available to palliative care clinicians.
机译：背景：人们普遍认为，专业的患者关系是提供社会心理支持的先决条件。研究表明，专业人员必须认识或熟悉患者，才能有效地提供心理支持。目的：探讨专业人员与专业人士提供的心理社会护理之间的联系。设计：在住院临终关怀环境中进行了混合方法研究，涉及参与者观察，访谈，组织和文献分析，历时8个月。参与者：最大变异抽样策略总共包括38名护士（注册和辅助）和47名患者。使用定性和定量技术分析数据。结果：数据证实了这样的信念：熟悉是提供社会心理支持的必要条件或充分条件。熟悉患者的护士并不一定能满足患者的心理需求，而没有事先与患者接触的护士会立即处理心理需求。结论：可以为首次与临床医生接触的患者提供社会心理支持，而不依赖于建立专业与患者的关系。这表明可以在姑息治疗临床医生可获得的短时间内提供高质量的心理社会护理。

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