患者参与跨学科的床边巡回从护理和医学学生的感知. 一个瑞典的定性面试研究研究
Yelyzaveta Hordiienko1,2, Cecilia Fagerström1,2, Hafrún Rafnar Finnbogadóttir2
1Department of Research, Region Kalmar County, Kalmar, Sweden.
护理和医学学生观察到,患者经常被排除在跨学科的床边轮 (IBRs). 复杂的医学语言和医疗团队动态限制了患者参与,尽管有努力促进它.
科学领域:
- 医疗保健质量和患者安全研究
- 医学教育和学生的观点.
- 定性健康研究方法的方法.
背景情况:
- 患者参与跨学科的床边巡视 (IBRs) 对于提高护理质量和安全至关重要.
- 护理和医学学生,参加教育目的,提供一个独特的"外部观点"患者参与.
- 在IBR的不同参与者之间,对患者参与的看法可能会有很大差异.
研究的目的:
- 探索和描述护理和医学学生关于患者参与跨学科床边巡回 (IBRs) 的看法.
- 从未来医疗保健专业人员的角度了解影响患者参与的因素.
主要方法:
- 使用个人,半结构面试进行定性研究设计.
- 18名护理和医学学生从瑞典的一个大学卫生诊所和一个县医院招募.
- 使用诱导性的定性内容分析方法进行的分析.
主要成果:
- 一个核心主题出现了:患者被视为"受人尊敬的客人",但由于复杂的医学术语和不清晰的程序,他们拥有"处境不利的外国人地位".
- 学生报告说,患者没有完全参与,参与由医疗保健团队控制.
- 确定的主要障碍包括患者的脆弱性,快节奏的医院环境和困难的医学语言;医生领导轮次,影响参与,而护士为患者辩护.
结论:
- 由于互动障碍,患者很少参与IBR,尽管有促进者,但参与取决于医疗保健专业人员的行动.
- 学生的观点强调了患者参与IBR的重大挑战.
- 建议进行进一步的研究,以探索其他利益相关者的观点,以改善患者参与IBR.
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