Experiences of therapeutic communication between nursing staff and family members in Neonatology

Victoria Estefania Campos López, Grace Pamela López Pérez
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Abstract

Introduction: Therapeutic communication tries to build relationships that promote an attitude that helps health personnel with care and with this create favorable conditions for the patient or family member, involving various elements such as empathy, respect, active listening to reach the patient. Likewise, nursing staff need to develop certain skills to establish adequate therapeutic communication. Objective: To categorize the experiences of therapeutic communication between nursing staff and relatives in neonatology. Method: The research is mixed, cross-sectional. In the qualitative phase, the information was collected through semi-structured interviews with 20 family members, at which time the information was saturated, and in the quantitative phase, the scale on "communication skills of health personnel" was applied, with a Cronbach's Alpha of 0.94, guaranteeing the reliability of the instrument; through the Likert scale applied to 22 nursing professionals from the neonatology area of the Ambato General Hospital. Results: 70% of the relatives reported that the reinteraction of information would be one of the strategies that would help improve communication with the nursing staff, agreeing with the responses of the nursing staff. More than 40.9% of the nursing staff mentioned that although bodily communication is an important axis, health personnel demonstrate it in a personal way, as highlighted in the interviews, the most cited actions were eye contact and smiling. Conclusions: Nursing staff need to maintain a correct therapeutic alliance with patients, the implementation of a communication guide will facilitate compliance with this context. Therefore, it is necessary to develop these skills in health professionals
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新生儿护理人员与家属治疗性沟通的体会
导言:治疗性沟通试图建立关系,促进一种态度,帮助医护人员进行护理,并以此为病人或家庭成员创造有利条件,包括各种因素,如同情,尊重,积极倾听,以达到病人。同样,护理人员需要发展一定的技能来建立适当的治疗沟通。目的:总结新生儿护理人员与家属治疗性沟通的体会。方法:采用混合、横断面法进行研究。在定性阶段,通过对20名家庭成员的半结构化访谈来收集信息,此时信息已经饱和;在定量阶段,采用“卫生人员沟通技巧”量表,Cronbach's Alpha为0.94,保证了工具的可靠性;通过对安巴托总医院新生儿科的22名护理专业人员应用李克特量表进行调查。结果:70%的家属反映信息的再互动是有助于改善与护理人员沟通的策略之一,与护理人员的反应一致。超过40.9%的护理人员提到,虽然身体交流是一个重要的轴,但卫生人员以个人方式展示它,正如访谈中强调的那样,引用最多的行为是眼神交流和微笑。结论:护理人员需要与患者保持正确的治疗联盟,实施沟通指南有助于依从这一背景。因此,有必要培养卫生专业人员的这些技能
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