重新审视以人为中心的护理:从问题化其概念和方法学假设到提出替代基础
Ali Kazemi1, Tinna Elfstrand Corlin2
1University West, Trollhättan, Sweden.
International journal of nursing studies
|January 30, 2026
概括
这项研究批判性地检查了以人为中心的护理 (PCC),揭示了其假设如何限制质量改善. 它建议将PCC重新想象为一种关系过程,与患者共同创建以获得更好的医疗保健.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医学伦理 医学伦理
- 卫生社会学 卫生社会学
背景情况:
- 以人为中心的护理 (PCC) 被广泛接受为医疗保健中的质量标准.
- 它的基本假设可能无意中限制研究,实践和评估.
- 需要进行批判性检查,以确保PCC真正有利于患者.
研究的目的:
- 批判性地检查以人为中心的护理的概念基础.
- 识别和质疑可能限制其有效性的潜在假设.
- 为了解和实施PCC提出替代框架.
主要方法:
- 利用问题化方法来解构PCC.
- 识别和分类了20个基本假设.
- 为PCC开发了替代的概念基础.
主要成果:
- 主导的PCC配方通过自主性和可衡量的结果等假设优先考虑个人主义和标准化.
- 在规范-道德,认识-心理学,实践-组织,本体学-身份,正义和测量类别中确定了假设.
- 拟议的人格,伙伴关系和尊严的重新概念化.
结论:
- 重新思考PCC假设将重点从一个固定的模型转移到在关系中共同创造护理.
- 倡导将PCC视为一种新兴的,取决于背景的,关系的过程.
- PCC的未来在于道德想象力和反思力,培养共同创造的护理而不是交付的护理.
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