对被认为"难以"照顾的患者的同情心的挑战:定性内容分析
Carmel Bond1,2, Alina Pavlova3,4, Nathan S Consedine3
1School of Health and Social Care, Sheffield Hallam University, Sheffield, UK.
Journal of advanced nursing
|October 29, 2025
概括
对同情护理的挑战源于系统性问题,而不仅仅是患者. 解决这些问题需要多层次的干预,以提供公平的医疗保健.
科学领域:
- 提供医疗保健服务.
- 定性研究是一种定性研究.
- 富有同情心的护理
背景情况:
- 在医疗保健中,富有同情心的护理至关重要.
- 了解医疗保健专业人员面临的挑战对于改善患者的治疗结果至关重要.
- 之前的研究还没有充分探讨提供富有同情心的护理的多方面的障碍.
研究的目的:
- 探索医疗保健专业人员在提供富有同情心的护理方面的经验.
- 识别具有挑战性的护理情况和促成因素.
- 为加强富有同情心的医疗保健提供提供战略提供信息.
主要方法:
- 一项涉及新西兰878名医疗保健专业人员的横截面定性研究.
- 匿名在线调查于2022年2月至5月进行.
- 115个详细的叙述性反应的内容分析,以医生同情心的交易模型和COREQ指南为指导.
主要成果:
- 出现了三个主要主题:分散的服务/资源限制,临床医生的同情需求/动机,以及与患者相关的挑战.
- 超过90%的叙述表明与患者,临床医生,临床和系统因素相互关联的障碍.
- 挑战很少仅仅是由于个体患者的影响.
结论:
- 慈悲护理的障碍植根于系统,临床医生和患者领域.
- 因素之间的复杂相互作用需要多层次的干预,以获得公平的护理.
- 调查结果强调了需要专业间协作和弹性建设战略的必要性.
相关概念视频
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Ethical Dilemmas II
2.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.3K
Nursing Ethical Principles II
2.1K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.1K
Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
7.2K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
7.2K
Ethical Dilemmas I
1.8K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.8K

