通过对话成为现实:从医疗保健接触中的多声声来构建关于手部关节炎的知识
Hege Johanne Magnussen1,2, Ingvild Kjeken1,2,3, Irma Pinxsterhuis1
1Department of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
概括
关于手骨关节炎 (OA) 的知识是在临床接触期间共同构建的. 患者和卫生专业人员的互动塑造了理解,各种声音有助于在医疗保健中共同创造意义.
科学领域:
- 医疗保健知识建设
- 临床沟通研究临床沟通研究
- 患者与医疗服务提供者之间的互动.
背景情况:
- 医疗保健依赖于多样化的知识来源,患者和专业人士的观点交叉来定义疾病.
- 了解合法知识的起源对于改善和发展医疗保健至关重要.
研究的目的:
- 在临床咨询中探索手部骨关节炎 (OA) 相关知识的构建和谈判.
主要方法:
- 采访了21名患者和14名卫生专业人员.
- 对16次临床咨询的观察.
- 使用反射主题分析解释数据.
主要成果:
- 出现了四个主题,说明手动OA的意义创造是如何在遭遇中"说话而成的".
- 确定的主题包括占主导地位的专业声音,患者作为知识分子,协作知识构建和混合立场.
- 知识构建涉及主导和边缘声音的动态相互作用.
结论:
- 关于手部OA的新知识是在临床体验中共同构建的.
- 这种共同构造涉及互动者之间和互动者之间的"多声乐".
- 临床遇到的情况背景是OA手中的知识谈判的关键.
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