Abstract：
OBJECTIVE: To explore the role of health communication in Shared Decision-Making (SDM) between nursing staff and older people in the community setting.
BACKGROUND: Society and healthcare services are marked by an exponentially ageing population, leading to a significant proportion of patients being older adults with highly demanding care needs. Scientific literature supports shared decision-making as a process that engages patients in their care. However, the increasing use of technology and the consequences of the COVID-19 pandemic have influenced how nurses communicate with older patients. Therefore, it is crucial to understand how to develop health communication to reach effective, shared decision-making processes.
METHODS: Whittemore and Knafl\'s integrative review method, the literature search comprised five databases: PubMed, CINALH, Web of Science, Scopus and PsycINFO.
RESULTS: The 12 included studies were synthesised into three study patterns: (1) nurse-older patient health communication relationship, (2) older patients\' perspectives and (3) nontherapeutic communication in end-of-life care.
CONCLUSIONS: This review underscored the crucial role of effective health communication in shaping SDM dynamics between nursing staff and older people in the community setting. Key elements included transparent information exchange, establishing trust and maintaining communication channels with informal caregiving networks. SDM actions were aligned with preserving older people\'s autonomy, but communication challenges persisted, particularly in end-of-life situations. Advanced care planning was recommended to address these shortcomings and improve communication among older people, healthcare professionals and families.
CONCLUSIONS: Implementing educational measures based on verbal and nonverbal health communication in nursing training could be beneficial. Nursing research could continue to develop and refine specific communication strategies adapted to the social determinants of health for diverse clinical situations regarding older adults in the community setting.
UNASSIGNED: The authors have adhered to relevant EQUATOR guidelines through the PRISMA 2020 checklist. No Patient or Public Contribution.
BACKGROUND: Society and healthcare services are marked by an exponentially ageing population, leading to a significant proportion of patients being older adults with highly demanding care needs. Scientific literature supports shared decision-making as a process that engages patients in their care. However, the increasing use of technology and the consequences of the COVID-19 pandemic have influenced how nurses communicate with older patients. Therefore, it is crucial to understand how to develop health communication to reach effective, shared decision-making processes.
METHODS: Whittemore and Knafl\'s integrative review method, the literature search comprised five databases: PubMed, CINALH, Web of Science, Scopus and PsycINFO.
RESULTS: The 12 included studies were synthesised into three study patterns: (1) nurse-older patient health communication relationship, (2) older patients\' perspectives and (3) nontherapeutic communication in end-of-life care.
CONCLUSIONS: This review underscored the crucial role of effective health communication in shaping SDM dynamics between nursing staff and older people in the community setting. Key elements included transparent information exchange, establishing trust and maintaining communication channels with informal caregiving networks. SDM actions were aligned with preserving older people\'s autonomy, but communication challenges persisted, particularly in end-of-life situations. Advanced care planning was recommended to address these shortcomings and improve communication among older people, healthcare professionals and families.
CONCLUSIONS: Implementing educational measures based on verbal and nonverbal health communication in nursing training could be beneficial. Nursing research could continue to develop and refine specific communication strategies adapted to the social determinants of health for diverse clinical situations regarding older adults in the community setting.
UNASSIGNED: The authors have adhered to relevant EQUATOR guidelines through the PRISMA 2020 checklist. No Patient or Public Contribution.
摘要：
目的：探讨健康沟通在社区环境中护理人员与老年人之间的共享决策（SDM）中的作用。
背景：社会和医疗服务的特点是人口呈指数级老龄化，导致相当大比例的患者是具有高要求护理需求的老年人。科学文献支持将共享决策作为一个让患者参与护理的过程。然而,越来越多的技术使用和COVID-19大流行的后果影响了护士与老年患者的沟通方式.因此,了解如何发展健康沟通以达到有效，共享决策过程。
方法：Whittemore和Knafl的综合审查方法，文献检索包括五个数据库：PubMed，CINALH,WebofScience,Scopus和PsycINFO。
结果：纳入的12项研究被合成为三种研究模式：（1）护士与老年患者的健康沟通关系，（2）老年患者的观点和（3）临终关怀中的非治疗性沟通。
结论：这篇综述强调了有效的健康沟通在塑造社区护理人员和老年人之间的SDM动态方面的关键作用。关键要素包括透明的信息交流，与非正式护理网络建立信任并保持沟通渠道。SDM行动与保护老年人的自主权保持一致，但沟通挑战依然存在，特别是在生命终结的情况下。建议进行高级护理计划，以解决这些缺点并改善老年人之间的沟通，医疗保健专业人员和家庭。
结论：在护理培训中实施基于言语和非言语健康交流的教育措施可能是有益的。护理研究可以继续开发和完善适应健康的社会决定因素的特定沟通策略，以适应社区环境中老年人的各种临床情况。
■作者通过PRISMA2020清单遵守了相关的EQUATOR指南。没有患者或公共贡献。
背景：社会和医疗服务的特点是人口呈指数级老龄化，导致相当大比例的患者是具有高要求护理需求的老年人。科学文献支持将共享决策作为一个让患者参与护理的过程。然而,越来越多的技术使用和COVID-19大流行的后果影响了护士与老年患者的沟通方式.因此,了解如何发展健康沟通以达到有效，共享决策过程。
方法：Whittemore和Knafl的综合审查方法，文献检索包括五个数据库：PubMed，CINALH,WebofScience,Scopus和PsycINFO。
结果：纳入的12项研究被合成为三种研究模式：（1）护士与老年患者的健康沟通关系，（2）老年患者的观点和（3）临终关怀中的非治疗性沟通。
结论：这篇综述强调了有效的健康沟通在塑造社区护理人员和老年人之间的SDM动态方面的关键作用。关键要素包括透明的信息交流，与非正式护理网络建立信任并保持沟通渠道。SDM行动与保护老年人的自主权保持一致，但沟通挑战依然存在，特别是在生命终结的情况下。建议进行高级护理计划，以解决这些缺点并改善老年人之间的沟通，医疗保健专业人员和家庭。
结论：在护理培训中实施基于言语和非言语健康交流的教育措施可能是有益的。护理研究可以继续开发和完善适应健康的社会决定因素的特定沟通策略，以适应社区环境中老年人的各种临床情况。
■作者通过PRISMA2020清单遵守了相关的EQUATOR指南。没有患者或公共贡献。
