在以团队为基础的医院环境中,是否存在治疗联盟? 在复杂的持续护理中进行定性研究
Jon Hunter1, Mary Zheng2, Lianne Jeffs3
1Department of Psychiatry, Sinai Health, Toronto, Ontario, Canada; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
General hospital psychiatry
|December 27, 2025
概括
治疗联盟,一个关键的患者-提供者关系措施,在复杂的医院护理中得到了验证. 患者优先考虑个人临床医生关系而不是以团队为基础的联系,证实了团队设置中的联盟相关性.
科学领域:
- 提供医疗保健服务.
- 患者的体验 患者的体验
- 临床心理学 临床心理学
背景情况:
- 治疗联盟预测心理健康和通用医学中的医疗保健结果.
- 在以团队为基础的医院环境中,如复杂持续护理 (CCC),缺乏治疗联盟的验证.
- CCC设置涉及长期停留和大型团队,强调了患者与提供者关系的重要性.
研究的目的:
- 探索患者在CCC中的治疗关系的经验.
- 为了确定患者是否认为以团队为基础的护理是个人关系还是分散的团队联系.
- 评估测量治疗联盟在基于团队的CCC环境中的适用性.
主要方法:
- 有关16名CCC患者半结构面试的定性研究.
- 采访被转录并使用定性分析进行分析.
- 探索患者在多学科团队环境中对关系的看法.
主要成果:
- 患者主要强调与医疗保健提供者的一对一关系.
- 在他们的护理经验中,很少强调分散或以团队为基础的关系.
- 尽管复杂,团队提供的护理,个人患者与临床医生的关系的中心地位至关重要.
结论:
- 治疗联盟在以团队为基础的医疗保健环境中是有效和可衡量的.
- 个体患者-提供者关系是CCC护理经验的关键决定因素.
- 这项研究为复杂的,以团队为基础的护理中治疗联盟提供了第一个定性证据.
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