伤害后人性化过程第二部分:安全事故后患者及其家属遭受的复合伤害
Lauren Ramsey1, Joanne Hughes2, Debra Hazeldine2
1Yorkshire and Humber Patient Safety Research Collaboration, Bradford Institute for Health Research, Bradford, United Kingdom.
医疗保健机构可以通过两种方式伤害患者:通过事件和他们的反应. 由组织反应引起的复杂伤害,使患者感到无能为力,被操纵和迷失方向. 解决这一问题需要进行系统性改变,以获得更好的患者支持和恢复性护理.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 定性研究是指质量研究.
背景情况:
- 医疗保健组织有风险通过安全事件和随后的组织反应造成伤害.
- 由于组织对事件的反应造成的复杂伤害,研究不足.
- 这种伤害影响患者及其家人身体,情感和经济.
研究的目的:
- 探索患者和家属如何从组织对安全事件的反应中体验复合伤害.
- 提出减少医疗保健机构中复合伤害的战略.
主要方法:
- 定性数据的框架分析.
- 采访了42名参与者,包括患者,亲属,调查人员和医疗保健/法律工作人员.
- 与参与者一起应用了共同设计原则.
主要成果:
- 确定了六个关键的复合伤害经验:感觉无能为力,无关紧要,被操纵,被遗弃,非人性化和迷失方向.
- 这些经验源于组织对安全事件的反应.
- 具有生活和专业经验的参与者为研究的设计和发现提供了信息.
结论:
- 减少复杂伤害对于患者和家庭的福祉至关重要.
- 建议包括解决认识不公正,培养透明的文化,并采用修复性,以人为中心的反应.
- 需要进行系统性改变,以支持患者作为平等的合作伙伴,并确保尊严和安全.
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