个人和系统障碍 阻止社区卫生工作者帮助重病患者
Julian T Rowe1, Elaina Parrillo2, Olivia Stanford3
1School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Journal of palliative medicine
|November 27, 2023
概括
社区卫生工作者 (CHWs) 在支持重病患者方面面临重大障碍. 通过更好的培训和团队沟通来应对这些挑战,可以改善慢性病患者的息治疗机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社区健康 社区健康
- 抚慰性护理是一种缓解性护理.
背景情况:
- 息治疗改善了严重慢性疾病患者的生活质量.
- 对这些患者来说,缓和护理的可用性仍然很低.
- 社区卫生工作者 (CHWs) 可以提高人们获得息护理的机会,但面临着障碍.
研究的目的:
- 探索医疗保健工作者在支持严重慢性疾病患者时所面临的感知障碍.
- 了解这些障碍如何影响CHW促进息护理的能力.
主要方法:
- 与CHW进行了定性半结构化个人访谈.
- 使用定性描述性分析来分析采访数据.
- 来自特定组织的12个CHW参加了.
主要成果:
- 医疗保健工作者确定了与他们自己,同事和工作环境相关的积极和被动障碍.
- 关键主题包括职业间冲突和对CHW角色缺乏理解.
- 障碍还包括缺乏获得优质资源的机会.
结论:
- 多重的感知障碍阻碍了医疗保健工作者有效地支持重病患者.
- 解决方案包括为CHW提供增强的特定职位培训.
- 改进的资源识别工具和包容性的医疗保健团队至关重要.
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