复杂护理医院医生的生活世界:复杂的自适应现象学研究
Felice Borghmans1, Stella Laletas2,3, Harvey Newnham4,5
1Faculty of Education, Monash University, Melbourne, Australia. felice.borghmans@monash.edu.
Health care analysis : HCA : journal of health philosophy and policy
|January 19, 2024
概括
医院医生越来越多地在急性护理机构管理复杂的多病患者. 这种专业实践需要新的方法来优化慢性疾病的医疗保健服务.
科学领域:
- 医学社会学 医学社会学
- 医疗保健管理的管理
- 复杂性科学 复杂性科学
背景情况:
- 慢性疾病的增加使急性护理的人口结构转向了复杂的患者需求.
- 专为偶发性治疗而设计的急症护理机构现在经常管理慢性和多病患者.
- 这需要重新评估这些环境中的医疗实践.
研究的目的:
- 检查医生在急性环境中提供复杂医疗保健的实践经验.
- 分析这个专业实践的独特特征和挑战.
- 确定优化急性环境中复杂护理的机会.
主要方法:
- 质量研究涉及采访四名医生.
- 采访数据的分析,使用现象学和复杂性理论的综合框架.
- 探索医生管理复杂患者队伍的"生活世界".
主要成果:
- 在急性病的复杂护理是一个动态的,扩展性的,沉浸式的,和关系的实践.
- 这种专门的护理形式在没有充分认识到其独特性质的情况下变得普遍.
- 由于快节奏,压力环境,医生们觉得这种做法很苛刻.
结论:
- 在急性环境中复杂的护理代表了医疗实践的重要,不断发展的领域.
- 有机会重新定义健康和疾病的概念,以更好地涵盖复杂性.
- 未来的研究,实践和系统设计应该专注于优化所有环境中对健康复杂性的护理.
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