卫生和社会护理工作人员与有复杂需求的成年人合作的经验 - 一个焦点小组研究研究
Ulrika Harris1, Anna Andersson1, Veronica Plessen1
1Blekinge Centre of Competence, Region Blekinge, Karlskrona, Sweden.
BMC health services research
|April 23, 2025
概括
卫生和社会护理工作人员在与有复杂需求的成年人合作时面临复杂的挑战. 改善协作和确保有意义的参与需要解决综合护理的立法和组织障碍.
科学领域:
- 医疗保健管理的管理
- 社会工作 社会工作 社会工作
- 公共卫生政策 公共卫生政策
背景情况:
- 多发病症是一个日益严重的全球性问题,影响了超过三分之一的人口.
- 具有复杂需求的成年人往往存在共同的身体,精神,认知和社会挑战,包括无家可归和药物滥用.
- 有效的综合护理需要医疗保健和社会服务之间的合作,但立法和协调问题构成重大障碍.
研究的目的:
- 探索卫生和社会护理工作人员与有复杂需求的成年人合作的经验.
- 识别促进或阻碍服务提供商之间合作的因素.
- 了解与个人参与护理规划和提供相关的挑战.
主要方法:
- 描述性的定性研究设计.描述性的定性研究设计.
- 数据是通过对17名卫生和社会护理工作人员进行的四个焦点小组采访收集的.
- 用于数据解释的定性内容分析.
主要成果:
- 当局之间的合作是复杂的,经常受到立法,财务和组织差异的阻碍.
- 工作人员面临着根据个人的需求工作的重大挑战,平衡自主权与最佳利益.
- 由于能力限制和系统复杂性,难以实现具有复杂需求的个人有意义的参与.
结论:
- 对有复杂需求的成年人进行综合护理受到系统障碍的阻碍,但可以通过跨专业论坛和信任关系来促进.
- 以人为中心的护理是至关重要的,但由于官僚制约和平衡个人自主权与安全的复杂性,实施是具有挑战性的.
- 需要进一步的研究,包括复杂需求的个人,他们的家庭和管理层的观点,以改善综合医疗保健和社会服务.
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