通过富有同情心的行动建立富有同情心的经验:定性行为分析
Laura Desveaux1,2,3, Kelly Wu2, Geneviève Rouleau2
1Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
JMIR formative research
|May 31, 2023
概括
基于技术的初级保健可以是富有同情心的. 关键的行为,如询问患者的偏好和使用视频,提高了患者的体验. 临床医生需要支持系统,以有效地提供同情护理.
科学领域:
- 提供医疗保健服务.
- 数字健康数字健康
- 患者为中心的护理
背景情况:
- 在COVID-19大流行期间,基于技术的初级保健的快速采用需要了解其对护理质量和结果的影响.
- 在技术增强的初级保健中确保富有同情心的护理对于患者的满意度和自主性至关重要.
- 在患者与临床医生的互动中运用技术需要洞察体验和创造富有同情心的护理.
研究的目的:
- 探索患者和临床医生在基于技术的初级保健中的同情行为经验.
- 识别在数字健康互动中影响同情行为发生的个人和上下文因素.
主要方法:
- 定性研究采用与初级保健医生,护士和患者进行一对一的采访.
- 诱导性主题分析,以确定每个参与者群体内的初步主题.
- 跨组分析以确定经验和已识别的驱动因素的对齐和区别.
主要成果:
- 通过尊重模式偏好,使用视频来呈现,屏幕共享和有效沟通等行为来增强富有同情心的体验.
- 临床知识,技能,信念和情绪影响了同情行为.
- 资源,资金,文化,法规,工作结构和患者特征等外部环境因素影响了互动.
结论:
- 临床医生的行为显著塑造了患者的体验,但需要支持系统来有效地整合技术.
- 在基于技术的护理中,疲劳和期望的转变威胁到富有同情心的护理.
- 临床医生需要系统的支持,患者的同情心,以及对人类的认可,以提供富有同情心的护理.
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