基于偏好的患者参与中介护理:挪威的4P的翻译,验证和试点
Linda A H Kvæl1,2, Astrid Bergland1, Ann C Eldh3,4
1Department of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
概括
用4Ps工具评估了患者参与中间护理 (IC) 的偏好. 调查结果表明,许多患者的参与程度低于预期,这凸显了在过渡服务中改善以人为中心的护理的需要.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 为老年人提供高质量的过渡性护理是国际优先事项,中间护理 (IC) 服务是医院和初级保健的桥梁.
- 患者参与在IC中至关重要,但评估患者参与偏好的工具很少.
- 了解和支持患者参与IC对于以人为中心的护理至关重要.
研究的目的:
- 翻译,验证和试点测试患者偏好与患者参与 (4P) 工具与挪威IC服务的患者.
- 评估4P仪器的适用性和可行性,以评估IC患者的偏好.
- 确定患者参与IC的首选和实际水平之间的差距.
主要方法:
- 这是一项两阶段的研究,涉及翻译,文化适应和4P仪器的内容有效性测试.
- 与15名患者和医疗保健工作人员进行认知访谈,以评估4P的相关性,全面性和清晰度.
- 对60名入院IC患者进行横截面调查,以评估仪器的适用性和可行性.
主要成果:
- 4P从瑞典语翻译成挪威语不需要任何重要的概念或上下文调整.
- 通过与患者和工作人员的采访来确定内容的有效性.
- 跨部门调查显示,50%的参与者接受的患者参与程度低于他们喜欢的,这表明需要改善对健康和医疗保健问题的参与.
结论:
- 4Ps仪器适合并可用于测量患者参与IC的偏好.
- 这些发现突出了希望和实际的IC患者参与水平之间的差异.
- 需要进一步的研究,以促进患者参与和实施以人为中心的服务在IC.
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