"我认为这就像播种种子":关于COVID-19疫苗接种的具有挑战性的患者和医疗服务提供者的讨论:一种定性研究
S Michelle Driedger1, Ryan Maier2, Colleen Metge2
1College of Community and Global Health, Rady Faculty of Health Sciences , University of Manitoba, Winnipeg, MB, R3E 0W2, Canada. michelle.driedger@umanitoba.ca.
BMC primary care
|October 29, 2025
概括
医疗保健提供者在与犹不决的患者讨论COVID-19疫苗时面临着挑战. 激励面试和共享决策等策略是有价值的,但需要更多的培训来支持提供者.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 医疗保健通讯 医疗保健通讯
背景情况:
- 在加拿大,COVID-19疫苗接种非常重要,医疗保健提供者在促进免疫接种中发挥着关键作用.
- 由于错误信息和两极分化,患者对疫苗的犹,在疫情期间提出了挑战.
- 本研究探讨了医疗保健提供者与疫苗犹患者的经验以及有效的沟通策略.
研究的目的:
- 检查医疗保健提供者和对COVID-19疫苗犹不决的患者之间具有挑战性的临床讨论.
- 为了识别在这些对话中遇到的障碍.
- 探索克服这些障碍并改善未来疫苗讨论的策略.
主要方法:
- 与加拿大马尼托巴省的十名医疗保健提供者进行了个人访谈 (2022年1月至5月).
- 参与者包括初级保健医生,护士从业人员和专业提供者,他们与患者讨论了COVID-19疫苗.
- 关于具有挑战性的对话和导航策略的采访数据使用NVivo12进行了专题分析.
主要成果:
- 医疗保健提供者注意到对COVID-19疫苗的独特犹,他们提到对疫苗新性,成分和任务的担忧.
- 提供者经历了敌意,道德伤害,由于患者的抵抗和对公共卫生的忽视而导致的倦怠.
- 尝试了激励面试和共享决策,使用决策辅助工具或即兴策略取得了一些成功.
结论:
- 激励面试和共享决策对提供者在管理困难的疫苗讨论和维持患者关系方面是有效的.
- 对医疗保健提供者进行有关这些沟通策略的加强培训是必不可少的.
- 需要支持医疗保健提供者管理全球卫生危机的情感和专业损失.
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