实施和评估护理和支持规划:对新加坡公共诊所卫生专业人员经验的定性研究
Vikki A Entwistle1,2,3, Sharon McCann4, Victor Weng Keong Loh5,6
1Health Services Research Unit, Health Sciences Building, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, Scotland, UK. Vikki.entwistle@abdn.ac.uk.
医疗保健专业人员 医疗保健专业人员
科学领域:
- 医疗保健管理的管理
- 患者护理 患者护理
- 医疗保健专业人员培训 医疗保健专业人员培训
背景情况:
- 新加坡的多诊所为糖尿病患者实施了护理和支持计划 (CSP).
- 该研究调查了卫生专业人员在临床试验中对CSP的观点.
研究的目的:
- 探索卫生专业人员对以人为中心的护理和支持计划 (CSP) 的看法.
- 确定影响CSP实施和有效性的因素.
- 为了告知未来的发展,以人为中心的慢性疾病的护理.
主要方法:
- 定性研究设计. 定性研究设计.
- 与13名卫生专业人员和3名协调员进行了半结构化采访.
- 对采访进行解释性分析,以了解CSP的各种经验和判断.
主要成果:
- 通过中断来维持CSP,但成功的案例往往涉及非常积极的患者.
- 卫生专业人员对CSP的理解和应用是多样化的,受沟通技巧,患者多样性和系统压力的影响.
- 对CSP的动机受到了感知到的好处 (生物医学与关系) 和实施挑战的影响.
结论:
- 卫生专业人员的解释和技能与医疗保健系统和患者因素在CSP中显著相互作用.
- 有效实施以人为中心的支持需要注意这些复杂的互动.
- 未来的努力应该考虑这些细微差别,以获得成功的以人为中心的长期疾病护理.
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