Person-Centered Communication Between Health Care Professionals and COVID-19-Infected Older Adults in Acute Care Settings: Findings From Wuhan, China

Author:

Li Juan12,Wang Jing3ORCID,Kong Xiangjing14,Gao Tingting4,Wu Bei5,Liu Jianmin2,Chu Jing1

Affiliation:

1. Second Military Medical University, School of Nursing, Shanghai, China

2. Cerebral Vascular Disease Center, Changhai Hospital affiliated to Second Military Medical University, China

3. Fudan University School of Nursing, Shanghai, China

4. Air Force Hospital of Eastern Theater Command, Nanjing, China

5. University Rory Meyers College of Nursing, New York, New York

Abstract

Abstract Objectives The current study aims to explore person-centered communication between health care professionals and COVID-19-infected older patients in acute care settings. Methods The current qualitative study explored the communication between professionals and COVID-19-infected older adults in the acute care setting through 2 rounds of interviews with physicians and nurses who provided direct care and treatment for COVID-19-infected older patients in Wuhan, China. We explored the possibilities and significance of facilitating effective communication despite multiple challenges in the pandemic. Conventional content analysis was adopted to analyze the rich data collected from our participants. Results It is possible and necessary to initiate and sustain person-centered communication despite multiple challenges brought by the pandemic. The achievement of person-centered communication can play significant roles in addressing challenges, building mutual trust, improving quality of care and relationships, and promoting treatment adherence and patients’ psychological well-being. Discussion It is challenging for health care professionals to provide care for COVID-19-infected older adults, especially for those with cognitive and sensory impairment, in acute care settings. Facilitating person-centered communication is a significant strategy in responding to the pandemic crisis and a core element of person-centered care.

Funder

Shanghai Pujiang Program

Naval Medical University Nursing Discipline Talent Training Program

Fudan University Outstanding Discipline Development Project, Geriatric and Community Nursing subproject

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Gerontology,Clinical Psychology,Social Psychology

Reference10 articles.

1. COVID-19 presents high risk to older persons;Applegate;Journal of the American Geriatrics Society,2020

2. COVID-19 and the consequences of isolating the elderly;Armitage;The Lancet Public Health,2020

3. Aging in times of the COVID-19 pandemic: Avoiding ageism and fostering intergenerational solidarity;Ayalon;The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences,2020

4. Novel coronavirus (COVID-19) epidemic: What are the risks for older patients?;Garnier-Crussard;Journal of the American Geriatrics Society,2020

5. Three approaches to qualitative content analysis;Hsieh;Qualitative Health Research,2005

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