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护士和外科医生与结直肠癌手术患者进行出院咨询的沟通和教学策略
Author(s) -
Carlsson Eva,
Pettersson Monica E.
Publication year - 2018
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13798
Subject(s) - medicine , conversation , preparedness , conversation analysis , colorectal cancer , nursing , medical education , psychology , cancer , communication , political science , law
Aim To describe the structure, content, and the communicative and pedagogic strategies in discharge consultations between patients and professionals after colorectal cancer surgery. Background Both nurses and surgeons play an important role in preparing patients for discharge from hospital following surgery for colorectal cancer (CRC). Design An explorative quantitative and qualitative research based on analysis of transcriptions of 13 audio‐taped discharge consultations between patients and nurses and patients and surgeons conducted between January ‐ March 2012. Methods In the quantitative analysis, the structure of each consultation was described in phases, subtopics, and main topics. The proportion of the main topics in relation to the whole conversation was counted in percentages. The text from the consultations was then analysed qualitatively with the support from Ricoeur's theory of interpretation. Results The language constituted the essence in the consultations regardless of other communicative and pedagogical strategies. The pedagogic strategies used were explanation model, information transfer, task orientation, and dialogue. Topics occurring in the consultations were Operation, Symptoms, Medication, Thromboprophylaxis, Recovery after surgery, Bowel function, Spreading, and Follow‐up. The surgeons and nurses used similar topics, but the surgeons used more communicative and pedagogic strategies. Conclusion Language was fundamental for communication and independent of the communicative and pedagogical strategies. Using preparedness communication more consistent in discharge consultation can help patients to better understand the recovery process after CRC surgery and regain control over their life. It is important that the consultations build on the patient as an active and learning person.