General practice nurses' communication strategies for lifestyle risk reduction: A content analysis.
counselling
deductive content analysis
general practice
interactions
lifestyle
motivational interviewing
nursing
patient relations
primary care
qualitative
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
14
04
2020
revised:
21
06
2020
accepted:
23
07
2020
pubmed:
9
9
2020
medline:
22
6
2021
entrez:
8
9
2020
Statut:
ppublish
Résumé
To explore how general practice nurses (GPNs) communicate lifestyle risk reduction with patients presenting for chronic disease consultations. Qualitative content analysis of video observations. The audio of 14 video-recorded GPN chronic disease management (CDM) consultations were transcribed verbatim. Deductive content analysis was undertaken using the exploring, guiding, and choosing model, an adaptation of steps used in motivational interviewing (MI). Data collection occurred between August 2017 - March 2018. General practice nurses demonstrated relational skills including the use of open-ended questions, content reflections, and affirmations. However, greater use of collaborative agenda setting, double-sided reflections, summarizing patient priorities, and 'importance and confidence scales' could enhance discussions about lifestyle risk reduction. Although GPNs were using some MI techniques, there was room for skill development. Enhancing GPNs' MI skills has the potential to optimize their effectiveness in communicating about lifestyle risk reduction and the reduction of chronic disease. Ongoing professional development in MI skills and lifestyle risk communication needs to be supported by nurses, workplaces, and educational providers. This study has identified GPNs' strengths and challenges in relation to lifestyle risk communication. Fostering these skills has the potential to reduce risk of lifestyle attributable chronic disease. 目标: 探讨全科护士如何与慢性病咨询患者沟通降低生活方式危险因子的方法。 设计: 通过视频观察进行内容的定性分析。 方法: 将14位视频中全科护士提供的慢性病管理咨询录音逐字转录。使用探索、引导和选择模式进行推论内容分析,这是动机式访谈(MI)中使用的一种步骤调整方式。在2017年8月至2018年3月之间进行数据收集。 结果: 全科护士展示了关系技巧,包括开放式问题的运用、对内容的反思和肯定。不过,更多地使用协作议题设置、双向思考、总结患者优先事项以及“重要性和信心量表”可以加强关于降低生活方式危险因子的讨论。 结论: 虽然全科护士使用了一些动机式访谈技巧,但仍有技能发展的空间。提高全科护士的动机式访谈技巧有可能优化其在降低生活方式危险因子和减少慢性病方面的效果。动机式访谈技巧和生活方式危险因子沟通的持续专业发展需要护士、工作场所和教育机构的支持。 影响: 该研究确定了全科护士在生活方式危险因子沟通方面的优势和挑战。培养这些技巧有可能降低生活方式引起的慢性病的风险。.
Autres résumés
Type: Publisher
(chi)
目标: 探讨全科护士如何与慢性病咨询患者沟通降低生活方式危险因子的方法。 设计: 通过视频观察进行内容的定性分析。 方法: 将14位视频中全科护士提供的慢性病管理咨询录音逐字转录。使用探索、引导和选择模式进行推论内容分析,这是动机式访谈(MI)中使用的一种步骤调整方式。在2017年8月至2018年3月之间进行数据收集。 结果: 全科护士展示了关系技巧,包括开放式问题的运用、对内容的反思和肯定。不过,更多地使用协作议题设置、双向思考、总结患者优先事项以及“重要性和信心量表”可以加强关于降低生活方式危险因子的讨论。 结论: 虽然全科护士使用了一些动机式访谈技巧,但仍有技能发展的空间。提高全科护士的动机式访谈技巧有可能优化其在降低生活方式危险因子和减少慢性病方面的效果。动机式访谈技巧和生活方式危险因子沟通的持续专业发展需要护士、工作场所和教育机构的支持。 影响: 该研究确定了全科护士在生活方式危险因子沟通方面的优势和挑战。培养这些技巧有可能降低生活方式引起的慢性病的风险。.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3082-3091Subventions
Organisme : Australian Government Research Training Program Scholarship
Informations de copyright
© 2020 John Wiley & Sons Ltd.
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