医生对预先护理计划申请系统影响的看法:主题分析
Denise Patricia Craig1,2, Robin A Ray1
1College of Medicine and Dentistry, James Cook University, Cairns, Qld, Australia.
Journal of multidisciplinary healthcare
|February 12, 2024
概括
昆士兰州公立医院的系统性障碍使预先护理计划 (ACP) 变得复杂. 医生 医生 医生
科学领域:
- 医疗保健系统研究 医疗保健系统研究
- 医学伦理 医学伦理
- 患者倡导 患者倡导
背景情况:
- 提前护理计划 (ACP) 对于尊重患者偏好至关重要.
- 了解对ACP应用的系统影响对于患者的声音至关重要.
- 神经退行性疾病需要明确的终身护理计划.
研究的目的:
- 调查影响昆士兰州公立医院医生实施预先护理计划 (ACP) 的系统性障碍.
- 探索医院系统如何影响ACP对神经退行性疾病患者的应用.
主要方法:
- 采用了一个构造主义的基于理论的方法.
- 与公立医院医生进行了16次半结构面试.
- 采访数据的诱导分析使用开放和集中编码.
主要成果:
- 昆士兰州的医生发现,在昆士兰州应用ACP是复杂的,缺乏足够的培训.
- 医院的实践文化和法律结构影响了决策.
- 系统性因素有助于非合法化通过非洲和非洲国家表达的患者声音.
结论:
- 昆士兰州的公共卫生保健系统显著影响了非洲国家和地区的有效性.
- 医生对相关法律和系统影响的理解可能会阻碍非洲和非洲国家和地区的发展.
- 需要进行文化转变,以确保在医疗保健系统中尊重通过非洲和非洲国家 (ACP) 的患者声音.
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