医疗保健专业人员和儿童之间的信任关系:使用罗杰斯的进化方法进行概念分析
Rhymme Dickens1, Piet Leroy2, Walter Eppich3
1School of Health Professions Education, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands. rhymme.dickens@maastrichtuniversity.nl.
European journal of pediatrics
|July 2, 2025
概括
在儿科医疗保健中定义信任关系对于改善患者护理至关重要. 本研究阐明了这些动态,确定了提高儿童对医疗保健专业人员 (HCP) 信心的关键因素.
科学领域:
- 儿科医疗保健研究 儿科医疗保健研究
- 医学中的概念分析.
- 儿童心理学 儿童心理学
背景情况:
- 儿童和医疗保健专业人员 (HCP) 之间的信任在儿科医学中越来越重要.
- 在这种情况下",信任关系"的概念仍然定义不完善,导致实践和教育不一致.
研究的目的:
- 定义和澄清儿科患者 (2-12岁) 和医疗保健工作者之间的"信任关系".
- 确定这些关系的关键属性,先例和后果.
- 开发一个研究和实践的概念框架.
主要方法:
- 使用罗杰斯框架的进化概念分析 (ECA).
- 在PubMed,Embase,CINAHL和PsychINFO中进行了全面的文献搜索 (1936-2024年).
- 对符合纳入标准的40篇文章进行分析.
主要成果:
- 确定了诸如"信任关系"和"建立关系"之类的替代术语.
- 发现了56个属性 (例如,HCP特征,沟通,时间),23个先例 (例如,准备,父母的存在) 和22个后果 (例如,减少焦虑,改善坚持).
结论:
- 信任关系是复杂的,动态的,互惠的,建立在好奇心,尊重和信任之上.
- 同理心,有效的沟通和以儿童为中心的环境是必不可少的.
- 整合这些发现可以提高儿科护理,减少焦虑,改善健康结果.
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