护士拥有的无价工具
你知道吗?我们护士面对病人时有着无价的工具,这个工具是如此简单却又不易掌控,那就是——好的临床态度!
真的,不论你是否知道,拥有一个好的临床态度能帮你和病人之间建立信任。在课堂上,我们的教授讲解,在病人的床边应该如何表现。他告诉我们应该友好、关心和尊重。在学校听从这建议是很有帮助的,但能与病人面对面练习又是宝贵的一课。
去年在纽约长老会的临床轮岗中,通过护理学校的导师,我已经了解,病人想知道你是否尊重、真心关心他们。他们在医院里感觉很脆弱,有时也不明白医护人员使用的术语。通常,家属会感到一种类似的脆弱和无助感。有一个良好的临床态度可以帮助我们缓解他们的脆弱性和解决他们面临的挑战。
展现好的临床态度,以下是一些建议:
微笑
当你带着微笑走进病房时,病人会很感激。最近,一位病人告诉我,她对护士非常感激,因为护士总是面带微笑走进她的病房,这使她的日子变得更好了。患者若有糟糕的一天不需要额外的压力,只要有一个护士的消极态度就够了。面带微笑进入病人的房间并不总是合适的,但是我们可以一直呈现一种积极的态度,并给予积极的能量。这是我们需要学习和完善的东西。
保持你的注意力
为了以我们最好的能力给病人提供优良的、以病人为中心的护理,把我们的个人问题留在家里是很重要的。当开始与病人打交道的一天时——不是以自己为中心——以病人为中心,我们可以把他们应得的关注移到他们身上。
积极倾听
积极的倾听要求你充分专注于病人所说的和他们的肢体动作,这样你才能彻底了解他们的需求和问题。这种做法是非常重要的,它给予我们成为病人最有效的拥护者所需的信息。我们还必须充分重视病人的家庭成员,以帮助他们应付病人的疾病。
展现你的尊重
尊重可以表现在几个方面。例如,如果你不熟悉一个病人的文化习俗,做一些研究,找出你需要知道的,以尊重他们的愿望以及尊重家属。此外,如果病人想和另一个团队成员交谈关于治疗过程、医疗计划或其他任何的事情,请确保你能按照病人的要求进行跟进。当你告诉一个病人,你会为他们做些什么,你就去做吧。如果你非常忙碌,你可以委派任务,那就按照你的计划进行。
询问
我的一位导师曾告诉我,当你进入病人的房间,问“今天我能怎样帮助你?”和“你的目标是什么,我怎样才能帮助你完成这些目标?”当你离开房间时,问:“在我离开之前,还有什么我可以帮你的?”
当你和病人说话时,确保你是真心实意的同时和他保持眼神交流,而不是当你要离开病房时随便问问而已。
这是我的护理学校学习历程中的几点建议。我知道,作为一名护士,在未来,我将会学到更多。
责任编辑:杨璐
来源丨本文为宏景新闻部 编译自美国护士网,转载请注明出处和译者。
A good bedside manner is an invaluable tool
作者 KRISTEN PONTICELLI
As we all know, having a good bedside manner helps build a trusting relationship with patients. In class, our professors explain how we should behave at a patient’s bedside. They tell us to be kind, caring and respectful. Hearing this instruction at school is helpful, but being able to practice it face-to-face with patients is an invaluable lesson.
I am in my last clinical rotation at NewYork-Presbyterian, and what I have learned through nursing school and from my mentor is that patients want to know you respect them and genuinely care. They feel vulnerable while in the hospital and sometimes do not understand the terminology used by healthcare professionals. Often, patients’ family members feel a similar sense of vulnerability — and helplessness. Having a good bedside manner can help us ease their feelings of vulnerability and tackle their challenges.
Here are some tips to developing a good bedside manner:
Smile
Patients appreciate when you enter the room with a smile. Recently, a patient told me how much she appreciated how the nurses on the unit always came into her room smiling; it simply made her day better. A patient having a bad day does not need the added stress of having a nurse with a negative attitude. It is not always appropriate to enter a patient’s room with a smile on your face, but we can always present a positive attitude and give off positive energy. This is something that we need to learn and perfect.
Maintain your focus
It is important to leave our personal problems at home in order to provide excellent patient-centered care to the best of our abilities. By starting out the day with patients — not ourselves — as our primary focus, we can give them our undivided attention, and that is exactly what they deserve.
Practice active listening
Active listening requires your full concentration on what a patient is saying and on their body language, so you can thoroughly understand their needs and questions. This practice is extremely important; it gives us the information we need to be effective patient advocates. We also must give our full attention to family members in order to help them cope with a patient’s illness.
Show respect
Respect can be demonstrated in several ways. For instance, if you are not familiar with a patient’s cultural practices, do some research and find out what you need to know in order to respect their wishes and those of family members. Also, if a patient wants to speak to another team member about a procedure, the care plan or anything else, make sure you follow up on that request on your patient’s behalf. When you tell a patient you are going to do something for them, do it. If you are extremely busy and it is a task you can delegate, go that route instead.
Ask questions
One of my mentors once told me that when you enter a patient’s room ask, “How may I help you today?” and “What are your goals and how can I help you to accomplish them?” When you are leaving the room ask, “Is there anything else I can help you with before I leave?” Be sure to mean what you say and maintain eye contact as you speak with a patient, rather than asking the questions as you are just about to leave the room.
These are a few tips I have picked up along my journey through nursing school. I know that in the years to come as a nurse, I will learn many more.
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