Ben-Sasson Ayelet
Occupational Therapy Department, Faculty of Social Welfare and Health Sciences, Haifa University, Haifa, Israel.
J Paediatr Child Health. 2011 Jul;47(7):415-8. doi: 10.1111/j.1440-1754.2011.02141.x.
Many clients engage in an intense search for evidence related to the diagnosis, prognosis and intervention options of their (or their dependent's) health condition. A client-based search for evidence poses challenges from a client and clinician perspective and evolves the client-clinician relationship. This paper describes the meaning of searching for health evidence by health-care clients such as parents of hospitalised children through a personal story. I discuss the subjective search for evidence-based health information, interpretation and transfer of information as well as its impact on providers. In order to implement client-centred care and evidence-based practice health care organisations and providers need to take an active role in guiding clients in effective health information-seeking behaviour and to develop mechanisms for processing evidence presented by clients.
许多客户会积极寻找与他们(或其受抚养者)健康状况的诊断、预后和干预方案相关的证据。从客户和临床医生的角度来看,基于客户的证据搜索会带来挑战,并会演变客户与临床医生的关系。本文通过一个个人故事描述了诸如住院儿童的父母等医疗保健客户寻找健康证据的意义。我讨论了对循证健康信息的主观搜索、信息的解读和传递以及它对提供者的影响。为了实施以客户为中心的护理和循证实践,医疗保健组织和提供者需要积极发挥作用,指导客户进行有效的健康信息搜索行为,并建立处理客户提供的证据的机制。