آموزش و اخلاق در پرستاری

ارائه مدل پیشنهادی دادن خبر بد به بیمار و خانواده بر اساس فرهنگ ایرانی –اسلامی: یک مطالعه هیبرید

نویسنده

دانشیار دانشگاه علوم پزشکی تهران، دانشکدۀ پرستاری و مامایی و عضو مرکز تحقیقات قرآن، علوم حدیث و طب،تهران،ایران

چکیده

مقدمه: خبر بد موجب ایجاد واکنش هیجانی شدید، رفتار یا احساسی ناخوشایند در شنونده شده و نوع نگاه وی به خود یا آینده ­اش را تغییر می ­دهد. با توجه به اهمیت چگونگی دادن خبر بد به بیمار و خانوادۀ وی و اثراتی که چگونگی انجام آن به جا می ­گذارد، این تحقیق در برگیرندۀ آن است که ضمن جمع‌ بندی بررسی ­های قبلی با انجام پژوهش­ های چند وجهی و ارائۀ راهکاری بر مبنای فرهنگ و دستورات دینی به مدلی جهت بیان کردن خبر بد به بیماران بر اساس فرهنگ ایرانی و مذهب اسلام دست یابد.
روش کار: بررسی حاضر یک تحقیق هیبرید است که شامل: سه مرحلۀ نظری، کار در عرصه و تحلیل نهایی است.
یافته ‌ها: بر اساس پژوهش انجام شده، فرآیند دادن خبر بد بر اساس الگوی اسلامی- ایرانی با نام اختصاری «تات» به دست آمد که شامل سه مرحله می ­باشد: 1- مرحلۀ تشکیل تیم، آماده‌سازی و هماهنگی 2- مرحلۀ اطلاع­ رسانی 3- مرحلۀ تعالی، برنامه ‌ریزی برای آینده و پیگیری.
نتیجه گیری: بر اساس این مدل، در اطلاع رسانی به بیماران، سطح و نگرش مذهبی آنها باید مد نظر قرار گیرد. از طرفی خود مصیبت و بیماری می ­تواند فرد را با هر پیشینۀ ایمانی مستعد دستیابی به تعالی سازد. بر اساس این تفکر، محیط­ های درمانی و مراقبتی باید تسهیلات لازم برای طی مسیر تعالی و استفاده از حمایت ­ها و مراقبت­ های معنوی بر اساس تمایل و نیاز بیماران و خانواده ­هایشان  فراهم نمایند.

کلیدواژه‌ها

عنوان مقاله [English]

Propose a model for delivering bad news based on Iranian-Islamic culture: A Hybrid study

نویسنده [English]

  • Akram sadat Sadat Hoseini

Associated professor of Tehran University of Medical Sciences and a member of research center of Quran, Hadith and medical sciences of TUMS. Tehran- Iran

چکیده [English]

Introduction: Bad news can cause a strong emotional and stressful response, unpleasant feeling or behavior, it can
change their attitude towards themselves or their futures. Given the importance of how to tell bad news to a patient or his/her family and its consequent effects, this study includes summarizing previous literature by conducting multidimensional research along with providing a solution for expressing bad news to patients based on Islamic religion and Iranian culture to achieve a model for this issue.
Materials and Methods: This study is a hybrid study with three stages: theoretical, field work and final analysis.
Results: According to this study, a model for delivering bad news based on Islamic-Iranian culture had been developed, entitled “TAT”. This model consists of three stages: 1- Team formation, preparation, and coordination for delivering bad news; 2- Notification; 3- Transcending and planning for the future, and follow-up.
Conclusion: According to this model, when notifying patients, their religious attitudes and faith should be considered. Although, hardships and illnesses can make people think of transcendence, regardless of their faith level. Hence, care settings should facilitate this process of transcendence and application of spiritual support and care for patients and their families based on their wants and needs.

کلیدواژه‌ها [English]

  • Bad News
  • Islam
  • medical ethics
  • Transcendences
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آموزش و اخلاق در پرستاری
دوره 10، 1-2
فروردین 1400
صفحه 26-35