哪些上下文特征会影响治疗性患者教育干预的结果和可持续性?
Anne-Christine Rat1,2, Laetitia Minary3, Carole Ayav4
1Inserm, COMETE, PFRS, Caen Normandie University, Caen, France.
PloS one
|February 14, 2024
概括
了解上下文因素是有效治疗患者教育干预的关键. 本研究从医疗保健专业人员的角度确定了影响干预结果和可持续性的关键因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者教育 患者教育
- 干预科学 干预科学
背景情况:
- 治疗性患者教育干预受到周围环境的影响.
- 了解这些上下文因素对于优化干预的有效性和可持续性至关重要.
- 医疗保健专业人士的观点对于识别这些有影响力的因素至关重要.
研究的目的:
- 确定影响治疗性患者教育干预结果的上下文特征.
- 探索影响治疗性患者教育干预措施可持续性的因素.
- 收集医疗保健专业人员关于干预背景的见解.
主要方法:
- 与医疗保健专业人员进行半结构化个人采访.
- 包括来自各种慢性疾病的14个治疗性患者教育干预的专业人员.
- 在转录的采访中采用一般的诱导方法来识别主题模式.
主要成果:
- 来自28次采访的数据 (20名护士,6名营养师,1名理疗师,1名心理学家) 平均有7年的工作经验.
- 确定了五个关键主题的上下文特征:干预开发条件,程序集成,团队工作动态,程序的可持续性,和患者/专业因素.
- 背景特征被分为与程序起源,医疗保健途径集成,团队凝聚力,可持续性以及个人患者/专业元素相关的主题.
结论:
- 一个基于医学研究理事会评估框架的框架突出了治疗性患者教育干预的新背景见解.
- 这些已识别的特征应在未来的干预研究和开发更有效,更有背景意识的干预中得到考虑.
- 未来的研究必须分析不仅是上下文元素,还要分析它们对干预措施的影响和相互作用.
相关概念视频
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.7K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.7K
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.2K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.2K
01:11Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
01:25Elements Crucial for Effective Psychotherapy
45
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
45
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.6K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.6K
01:23Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.9K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.9K