在实践中实施以患者为中心的目标设定:初级护理护士的观点
Karen S Schaepe1, Michelle A Lampman2, Angela B Mattson3
1Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, USA.
Scandinavian journal of caring sciences
|April 8, 2025
概括
主要护理护士通过以患者为中心的目标设定来赋予患者权力,以改善慢性疾病的自我管理. 这种方法增强了动机和行动计划,克服了患者对目标设定不熟悉等挑战.
科学领域:
- 护理 护理 护理
- 主要护理是指初级护理.
- 健康 行为 健康行为
背景情况:
- 设定目标对于慢性疾病自我管理和减少患者负担至关重要.
- 初级护理护士是支持多种慢性疾病患者自我管理的关键.
- 关于护士在自我管理计划中对协作目标设定的观点的理解有限.
研究的目的:
- 探索初级护理护士对他们与患者设定目标的做法的观点.
- 了解护士如何通过协作目标设定来促进患者的自我管理.
主要方法:
- 使用半结构面试进行的定性探索性研究.
- 采访了提供自我管理支持的28名初级护理护士.
- 使用感应主题分析分析的数据.
主要成果:
- 护士们描述了目标设定实践,这些实践赋予了患者权力,增强了动机和现实的行动计划.
- 关键的挑战包括患者对目标设定不熟悉,相互竞争的压力因素,以及不愿意改变.
- 以患者为中心的方法被认为对患者的动机和坚持有积极影响.
结论:
- 主要护理护士的以患者为中心的目标设定实践与积极的患者和临床结果有关.
- 与之前的发现不同,这项研究中的护士没有报告时间限制阻碍了以患者为中心的目标设定.
- 未来的研究应该探索注册护士 (RN) 的观点,并评估护士-病人目标设定互动.
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