医疗保健提供者关于互动性麻烦的患者交流的叙述:为积极的患者角色进行解释和反对
Elina Weiste1, Melisa Stevanovic2, Nanette Ranta2
1Finnish Institute of Occupational Health, Helsinki.
Qualitative research in medicine & healthcare
|July 22, 2024
概括
医疗保健提供者对患者参与的看法不同,在一个叙述中,他们认为被动患者是有问题的,而在另一个叙述中,他们认为过度活跃的患者是破坏性的. 这凸显了对以患者为中心的护理理念与父权主义倾向的培训的需要.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 医学社会学 医学社会学
- 患者与医疗服务提供者的关系
背景情况:
- 医疗保健趋势强调患者积极参与治疗.
- 医疗保健提供者可能仍然持有父权主义的观点,与患者参与的理想产生紧张关系.
- 这种冲突在互动性麻烦的服务遭遇中浮出水面.
研究的目的:
- 探索医疗保健提供者如何在令人不安的交流中构建患者角色.
- 分析医疗服务提供者对患者积极性与被动性的暗示评价.
主要方法:
- 经验定性研究.经验定性研究.
- 利用了巴姆伯格的叙事定位分析.
- 分析了与医疗保健提供者进行的20次录音采访.
主要成果:
- 关于令人不安的患者交流,出现了两种叙事类型.
- 当积极参与是理想时,提供者对被动患者的看法是负面的.
- 提供者认为过度活跃的患者会干扰医疗保健提供.
结论:
- 医疗保健提供者对患者参与的看法是复杂的,对被动和过度活跃的看法是截然不同的.
- 关于患者被动性的抱怨与参与的理想相吻合,但过度活跃会引起人们对父权主义的担忧.
- 培训是必要的,以提高提供者对患者参与理想和他们自己的父权倾向的认识.
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