在瘤科重症监护室了解"以人为本的护理":关联性小组分析
Yvonne Botma1, Hannelie Herselman1, Tanya Heyns2
1School of Nursing (99), University of the Free State, P.O. Box 339, Bloemfontein, South Africa.
Heliyon
|October 15, 2024
概括
对以人为中心的护理的理解仅限于瘤科重症监护室的医疗保健专业人员,患者和家属. 需要改善培训和自我评估,以使解释一致,并有效地运行以人为本的护理.
科学领域:
- 瘤重症监护病房 (ICU) 护理科
- 患者为中心的护理研究研究
- 医疗保健 专业教育 医疗保健 专业教育
背景情况:
- 以人为中心的护理是医疗保健的重要哲学,旨在提供个性化和整体的患者支持.
- 实施以人为中心的护理在专业单位,如瘤科ICU提出独特的挑战,由于患者的敏性和复杂的治疗方案.
研究的目的:
- 探索和描述医疗保健专业人员,患者及其在瘤科重症监护室环境中的重要其他人对以人为中心的护理的理解.
- 在不同利益相关者群体中发现以人为中心的护理的概念化和应用中的差异.
主要方法:
- 一种使用关联性群组分析 (AGA) 的定量研究方法.
- 共有44名参与者参与:22名医疗保健专业人员和22名来自四张床位的瘤成人急症室的患者/重要其他人.
- 通过个人采访 (面对面或电话) 收集数据,然后进行自由关联分析,主题分组,并与以人为中心的实践框架进行演调整.
主要成果:
- 参与者对以人为中心的护理的理解有限,他们只能从以人为中心的实践框架中识别23个构造中的6个.
- 虽然医疗保健专业人员支持这一原则,但他们对以人为中心的护理的理解仍然是抽象的和不确定的.
- 在医疗服务的不同层次中,以人为中心的护理在解释和运营方面存在很大的差距,使得它在这个瘤科的ICU中基本上是概念性的.
结论:
- 医疗机构必须优先考虑基于工作的学习计划,以提高员工对以人为中心的护理原则的理解.
- 医疗保健工作者需要不断自我反思和调整他们的做法,以有效地实施以人为中心的护理.
- 弥合以人为中心的护理理念与实践之间的差距,需要系统性调整和有针对性的教育干预措施.
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