边缘化群体感知到的提前护理计划:愿意参与并面对障碍
Shigeko Seiko Izumi1, Ellen Garcia1, Andrew Kualaau1
1School of Nursing, Oregon Health & Science University, Portland, Oregon, United States of America.
PloS one
|April 1, 2024
概括
边缘化的患者希望参与预先护理计划 (ACP),但面临医疗保健系统和临床医生的障碍. 有意义的ACP要求临床医生倾听和建立信任,改善终身护理公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 定性研究是指质量研究.
背景情况:
- 终身护理 (EOL) 的健康差异不成比例地影响边缘化人口.
- 预先护理计划 (ACP) 对于高质量的EOL护理至关重要,但边缘化群体的参与度很低.
- 改善对边缘化人口的ACP是促进健康平等的必要条件.
研究的目的:
- 探索来自边缘人口的患者对预先护理计划 (ACP) 的经验和看法.
主要方法:
- 使用半结构性定性访谈的解释性现象学方法.
- 30名患有严重疾病的边缘群体患者从初级保健诊所和养老院招募.
- 采访于2021年1月至12月期间进行,以收集有关非洲和非洲国家经验和看法的见解.
主要成果:
- 来自边缘化群体的患者愿意参与ACP.
- 阻碍非洲和非洲国家参与的障碍包括一个分散的医疗保健系统和临床医生的偏见.
- 当临床医生积极倾听并与患者建立信任时,就会发生有意义的ACP对话.
结论:
- 与普遍认为的相反,边缘化的患者愿意参加ACP.
- 系统性和人际障碍阻碍了有意义的非洲国家和地区对话.
- 临床医生必须意识到这些障碍,并优先考虑积极倾听,以培养对ACP的信任和参与.
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