影响为阿联酋2型糖尿病患者提供护理的医护人员积极性的因素。
Factors affecting the motivation of healthcare professionals providing care to Emiratis with type 2 diabetes.
作者信息
Alhyas Layla, Nielsen Jessica D Jones, Dawoud Dalia, Majeed Azeem
机构信息
Department of Primary Care & Public Health, Imperial College London , London , UK.
出版信息
JRSM Short Rep. 2013 Feb;4(2):14. doi: 10.1177/2042533313476419. Epub 2013 Feb 20.
OBJECTIVE
We aimed to identify facilitators of and barriers to healthcare professionals' motivation in a diabetes centre in the United Arab Emirates (UAE).
DESIGN
A qualitative research approach was employed using semistructured interviews to assess perception of and attitudes regarding healthcare professionals' motivation in providing good quality diabetes care.
SETTING
A diabetes centre located in Abu-Dhabi, UAE.
PARTICIPANTS
Healthcare professionals including specialist physicians, dieticians, podiatrists, health educators and nurses were recruited through purposive sampling.
MAIN OUTCOME MEASURES
After data collection, the audiotaped interviews were transcribed verbatim and subjected to content analysis.
RESULTS
Nine semistructured interviews were conducted with healthcare professionals of various professional backgrounds. Important facilitators and barriers related to patient, professional, organization and cultural factors were identified. Barriers that related to heavy workload, disjointed care, lack of patient compliance and awareness, and cultural beliefs and attitudes about diabetes were common. Key facilitators included the patient's role in achieving therapeutic outcomes as well as compliance, cooperation and communication.
CONCLUSION
This qualitative study provides some unique insights about factors affecting healthcare professionals' motivation in providing good quality care. To improve the motivation of healthcare professionals in the management of diabetes and therefore the quality of diabetes care, several steps are needed. Importantly, the role of primary care should be reinforced and strengthened regarding the management of type 2 diabetes mellitus, privacy of the consultation time should be highly protected and regulated, and awareness of the Emirate culture and its impact on health should be disseminated to the healthcare professionals providing care to Emirates with diabetes. Also, greater emphasis should be placed on educating Emiratis with diabetes on, and involving them in, the management of their condition.
目的
我们旨在确定阿拉伯联合酋长国（阿联酋）一家糖尿病中心医护人员积极性的促进因素和障碍。
设计
采用定性研究方法，通过半结构化访谈来评估医护人员在提供高质量糖尿病护理方面的积极性认知和态度。
地点
位于阿联酋阿布扎比的一家糖尿病中心。
参与者
通过目的抽样招募了包括专科医生、营养师、足病医生、健康教育工作者和护士在内的医护人员。
主要观察指标
数据收集后，对录音访谈进行逐字转录并进行内容分析。
结果
对不同专业背景的医护人员进行了9次半结构化访谈。确定了与患者、专业、组织和文化因素相关的重要促进因素和障碍。与工作量大、护理脱节、患者依从性和意识不足以及对糖尿病的文化信仰和态度相关的障碍很常见。关键促进因素包括患者在实现治疗效果以及依从性、合作和沟通方面的作用。
结论
这项定性研究提供了一些关于影响医护人员提供高质量护理积极性的因素的独特见解。为了提高医护人员在糖尿病管理方面的积极性，从而提高糖尿病护理质量，需要采取几个步骤。重要的是，应加强初级保健在2型糖尿病管理方面的作用，高度保护和规范咨询时间的隐私，并向为阿联酋糖尿病患者提供护理的医护人员传播阿联酋文化及其对健康影响的认识。此外，应更加重视对阿联酋糖尿病患者进行病情管理教育并让他们参与其中。
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