进行预先护理规划对话的专业人士的角色自我分配:主题分析
Anca-Cristina Sterie1,2,3, Mathieu Bernard2,3, Ralf J Jox1,4
1Chair of Geriatric Palliative Care, Palliative and Supportive Care Service and Service of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Palliative medicine
|April 26, 2025
概括
医疗保健专业人员必须在事先的护理规划中具有适应性,根据患者的需要充当促进者或顾问. 培训应该解决这个复杂的,不断变化的支持决策的角色.
科学领域:
- 医疗保健专业人员的角色 医疗保健专业人员的角色
- 提前护理规划 沟通沟通 提前护理规划
- 决策支持 决策支持
背景情况:
- 预先护理计划 (ACP) 涉及复杂的决策,通常需要医疗保健专业人员的支持.
- 有限的证据表明,专业人士在ACP对话中如何看待他们的角色.
研究的目的:
- 探索医疗保健专业人员对其在进行预先护理规划对话中的角色的看法和定义.
主要方法:
- 在瑞士进行的探索性横截面研究 (2019年11月 - 2020年6月).
- 与14名训练有素的专业人士进行半结构面试,使用诱导方法进行主题分析.
主要成果:
- 确定了三个主题:角色类型学,以个人为中心和以专业为中心的方面.
- 专业人员的角色分为"促进者" (优先考虑自主) 或"顾问" (提供指导).
- 角色扮演是动态的,受患者特征和专业因素的影响.
结论:
- 提前的护理规划需要适应性和灵活性的专业角色.
- 培训必须明确地解决这些角色的复杂性和情境性质.
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