患者,护理人员和提供者关于改善血液透析中提供者-患者互动的观点:一种定性研究
Melanie D Talson1, Priscila Ferreira da Silva1, Juli Finlay2
1Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Canadian journal of kidney health and disease
|January 6, 2025
概括
改善血液透析护理需要从单向沟通转向患者和医疗保健提供者之间的双向互动. 这包括应对不信任和时间限制等挑战,以促进更好的合作和患者参与.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 改善医疗保健质量 改善医疗保健质量
- 患者与医疗服务提供者之间的沟通
背景情况:
- 改善患者-提供者互动在医疗机构的血液透析是所有利益相关方的关键优先事项.
- 当前的互动往往是单向的,阻碍了高质量的护理.
研究的目的:
- 确定影响血液透析护理临床相互作用的挑战.
- 探索潜在的解决方案,以加强患者和医疗服务提供者之间的沟通和合作.
主要方法:
- 在加拿大五个血液透析中心进行了一项多中心的定性研究.
- 通过聚焦小组和与患者,护理人员和医疗保健提供者的半结构化访谈收集数据.
- 在数据分析中使用了基于理论的感应性主题分析方法.
主要成果:
- 通信经常被描述为单向的"交叉点",而不是双向的"交互点".
- 关键的挑战包括护理文化,不信任,时间限制和缺乏护理协调.
- 对于四个主要挑战主题中的每一个,都确定了潜在的解决方案.
结论:
- 双向相互作用对于改善血液透析护理至关重要,超越了被动信息接收.
- 建议加强以团队为基础的护理,改进信息传输工具和包容性护理规划.
- 授权患者和所有团队成员提供意见对于更好的结果至关重要.
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