关于提前护理规划和息护理的有效沟通障碍:一个定性研究
Hyosin Kim1,2, Signe Peterson Flieger2
1College of Public Health & Human Sciences, Oregon State University, Corvallis, Boston, USA.
Journal of hospice and palliative care
|September 27, 2023
概括
提前护理计划 (ACP) 和息护理对话的障碍包括提供者不适,缺乏知识和迟到的讨论. 解决这些问题需要更好的工具和对医疗保健和社区专业人员的支持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
- 卫生社会学 卫生社会学
背景情况:
- 有效的沟通对于预先护理计划 (ACP) 和息护理至关重要.
- 识别服务提供商面临的障碍对于改善患者护理至关重要.
研究的目的:
- 识别提前护理计划 (ACP) 和息护理对话的障碍.
- 了解马萨诸塞州医疗保健和社区服务提供商的观点.
主要方法:
- 对142名参与者的开放式调查答案进行了定性分析.
- 2017年11月至2019年6月期间收集的数据的诱导性主题分析.
- 涉及马萨诸塞州九个不同的组织.
主要成果:
- 关键的障碍包括供应商的犹,缺乏知识和政策的变化.
- 息护理障碍包括误解,提供者不准备以及有限的支持.
- 常见的挑战包括恐惧,迟到的讨论和文化/语言障碍.
结论:
- 服务提供者面临的消费者,提供者和系统层面的障碍,ACP和息护理的讨论.
- 需要加强工具和支持,以提高医疗保健规划中的提供者能力.
- 为了有效的预先护理计划对话,需要采用结构化的方法.
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