患者和救护医生之间的护理关系和互动:从以人为中心的角度进行定性元综合
Viivi Tikkanen1,2, Kay Sundberg3
1School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
Scandinavian journal of caring sciences
|November 24, 2023
概括
救护医生可以通过优先考虑人际互动和以人为中心的护理来改善患者的护理. 信任,沟通和尊重等因素是关键因素,尽管环境和行为因素可能会带来挑战.
科学领域:
- 紧急医疗 紧急医疗
- 在医院前的护理.
- 护理 护理 护理
背景情况:
- 医疗护理传统上强调医疗干预,而不是人际关系的动态.
- 以人为中心的护理对患者的福祉至关重要,需要积极倾听,同情,并认识到患者的个性.
研究的目的:
- 探索有关在医院前急诊护理中患者与临床医生的关系的文献.
- 通过以人为中心的护理镜头来分析这些相互作用.
主要方法:
- 采用了定性元合成方法.
- 对PubMed,CINAHL Plus和Web of Science数据库的搜索在两个时间框架 (1990-2022年和2022-2023年) 中进行.
- 在解释性分析中包括了13项定性研究.
主要成果:
- 出现了三个关键主题:护理关系的质量,决策过程和以人为中心的护理障碍.
- 一个积极的护理关系取决于信任,有效的沟通,尊重患者的尊严.
- 在患者检查,治疗和运输方面的决策涉及临床医生,患者和家人之间的合作.
- 环境因素,临床医生的态度/行为以及与患者相关的问题都会阻碍以人为中心的护理.
结论:
- 虽然许多救护医生实行以人为中心的护理,但存在重大障碍.
- 进一步的开发和研究对于提高救护车服务质量而提高以人为本的护理至关重要.
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