使用交叉镜头检查配资值得的群体的急诊部护理经验
Aliki Karanikas1, Reyana Jayawardena1, Maya Balamurugan1
1Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.
Journal of primary care & community health
|October 21, 2024
概括
配资群体 (EDG) 在急诊室遇到严重的医疗保健障碍. 这项研究强调了多重交叉身份如何放大歧视,并影响以患者为中心的护理,强调需要改善沟通和尊重.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 患者体验 患者体验
背景情况:
- 需要公平的群体 (EDG) 在医疗保健环境中面临系统性障碍,特别是在急诊室 (ED).
- 现有的研究往往忽视了歧视对患者护理经验的复杂,交叉影响.
- 交叉性镜头对于理解这些障碍的多面性质至关重要.
研究的目的:
- 分析与一个或多个EDG认同的个人在ED中的患者护理经验.
- 根据EDG会员的数量,探索基于感知护理的差异.
- 从跨部门的角度确定与歧视和以患者为中心的护理相关的关键主题.
主要方法:
- 在金斯顿卫生科学中心进行的一项混合方法,横截面研究的二次分析 (2021年6月至8月).
- 患者感知需求,决策控制和护理优先事项在零到三个EDG会员的个人之间进行定量比较.
- 对患者叙述和与社区合作伙伴的焦点小组进行定性主题分析.
主要成果:
- 根据EDG会员身份,在感知对需求的关注 (P < .001),患者在决策中的控制 (P = .001) 和护理优先事项 (P = .003) 中发现了显著的差异.
- 确定的主题包括耻辱和歧视,缺乏以患者为中心的护理,以及需要改善患者-提供者沟通.
- 交叉性揭示了多个EDG关联的个体在护理经验中的细微差异.
结论:
- 调查结果强调了跨学科性方法的重要性,以了解EDG在ED的经验.
- 解决耻辱,歧视和沟通差距对于改善以患者为中心的护理至关重要.
- 未来的研究应该进一步研究特定EDG成员的复杂相互作用,以提高护理质量.
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