医疗保健专业人员和管理人员对患者参与护理途径发展的观点:话语分析
Mildred Visser1, Naomi 't Hart1, Marleen de Mul1
1Erasmus School of Health Policy & Management, Erasmus University, Rotterdam, The Netherlands.
概括
医疗保健专业人员和管理人员的言论揭示了患者参与护理途径发展的障碍. 加强能力和创造安全环境的策略可以促进更多的患者参与.
科学领域:
- 医疗保健管理的管理
- 患者参与 患者参与
- 医疗保健服务研究 医疗服务研究
背景情况:
- 世界卫生组织 (WHO) 强调患者和公众参与是道德上的必要要求,重视患者的生活经验.
- 了解医疗保健专业人员和管理人员对患者参与护理途径发展的信念至关重要.
研究的目的:
- 探索医疗保健专业人员和管理人员对患者和公众参与护理途径发展的考虑.
- 确定影响患者参与程度和性质的潜在话语.
主要方法:
- 一个单一的案例研究是在医疗康复中心内进行的,作为混合护理途径开发行动研究计划的一部分.
- 与医疗保健专业人员和管理人员进行了14次半结构面试.
- 分析了关于患者参与的价值,潜在威胁和机会的论述.
主要成果:
- 四个关键话题出现了:"患者作为专家"",技能和代表"",自我保护"和"专业人士知道最好".
- 这些论述解释了为什么在护理途径发展中,患者参与往往被推迟,限制或避免.
结论:
- 患者和公众参与护理途径发展面临挑战,原因是鉴定了专业和管理话语.
- 加强利益相关者的能力,使用多样化的参与技巧和培养安全环境等策略可以提高患者参与度.
- 这些策略促进了持续的互惠学习,以改善患者在医疗保健中的参与.
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