在癌症护理中识别和应对家庭虐待:对培训和支持干预的混合方法服务评估
Sandi Dheensa1, Ruth Hendy2, Linda Finn3
1Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
概括
一项针对癌症专业人员的新家庭虐待干预措施显著提高了他们的信心,并减少了识别和应对虐待的障碍. 这凸显了医疗保健机构中专门的家庭虐待协调员角色的价值.
科学领域:
- 医疗保健服务研究 医疗保健服务研究
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 家庭虐待是一个重要的公共卫生问题,对患者的护理有影响.
- 医院专业人员需要专门的培训来识别和应对家庭虐待.
- 调整现有角色以解决家庭虐待在癌症护理等专业环境中的问题至关重要.
研究的目的:
- 评估针对医院癌症专业人员量身定制的家庭虐待干预措施.
- 评估癌症特定家庭虐待协调员角色对员工准备和实践的影响.
- 检查家庭虐待识别和应对的变化,培训后大约六个月.
主要方法:
- 一个解释性的顺序设计,包括培训前,培训后和六个月后续调查.
- 培训后进行了半结构面试,以探索干预经验.
- 在实施协调员角色之前和之后,对比了家庭虐待识别率.
主要成果:
- 培训显著增加了员工对识别和应对家庭虐待的信心.
- 对解决家庭虐待问题的障碍的感知在培训后显著下降.
- 一个地点显示家庭虐待识别率增加;定性数据提供了对干预有效性的见解.
结论:
- 基于医院的家庭虐待协调员角色在专门的癌症护理机构中是有益的和可行的.
- 这项干预表明,在瘤服务部门内,需要有效应对家庭虐待.
- 调整协调员角色以适应特定的临床环境,可以提高其影响力.
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