关于推理的推理 - - 使用回忆来揭示中风康复团队中的临床推理
Maria Elvén1,2, Malin Prenkert2, Inger K Holmström1,3
1School of Health, Care, and Social Welfare, Mälardalen University, Västerås, Sweden.
Disability and rehabilitation
|February 23, 2024
概括
中风小组中的医疗保健提供者旨在以人为中心的临床推理,但专业的专业知识可能会阻碍患者的需求. 刺激回忆可以提高对以患者为中心的实践的认识.
科学领域:
- 医疗保健研究的研究.
- 临床推理 临床推理
- 专业间合作 专业间合作
背景情况:
- 在中风康复中,有效的临床推理至关重要.
- 为了获得最佳的护理,与患者和家人合作至关重要.
- 了解跨专业中风团队的动态是至关重要的.
研究的目的:
- 调查中风小组中的医疗保健提供者如何从临床上推理.
- 探索涉及患者和亲属的协作临床推理过程.
主要方法:
- 探索性的定性设计. 探索性的定性设计.
- 使用康复对话的音频录音来刺激回忆.
- 对与医疗保健工作人员的采访进行主题分析.
主要成果:
- 确定了以职业为中心和以人为中心的临床推理之间的紧张关系.
- 主题包括:不同观点的价值,实现共同理解的挑战,提供者专业知识的影响,情境影响和错过的患者投入机会.
- 专业的专业知识可能会掩盖个体患者的需求.
结论:
- 跨专业的中风小组重视患者的观点,但专业的专业知识可能会阻碍以人为中心.
- 预期的以人为中心的护理与实际的临床推理实践之间存在差距.
- 刺激回忆可以提高对临床推理中以人为中心实践的认识.
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