初级保健护士对大众媒体如何影响英国一线医疗保健的体验。
Primary care nurses' experiences of how the mass media influence frontline healthcare in the UK.
机构信息
MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
出版信息
BMC Fam Pract. 2013 Nov 24;14:178. doi: 10.1186/1471-2296-14-178.
BACKGROUND
Mass media plays an important role in communicating about health research and services to patients, and in shaping public perceptions and decisions about health. Healthcare professionals also play an important role in providing patients with credible, evidence-based and up-to-date information on a wide range of health issues. This study aims to explore primary care nurses' experiences of how mass media influences frontline healthcare.
METHODS
In-depth telephone interviews were carried out with 18 primary care nurses (nine health visitors and nine practice nurses) working in the United Kingdom (UK). Interviews were recorded and transcribed. The data was analysed using thematic analysis, with a focus on constant comparative analysis.
RESULTS
Three themes emerged from the data. First, participants reported that their patients were frequently influenced by controversial health stories reported in the media, which affected their perceptions of, and decisions about, care. This, in turn, impinged upon participants' workloads as they had to spend additional time discussing information and reassuring patients. Second, participants also recalled times in their own careers when media reports had contributed to a decline in their confidence in current healthcare practices and treatments. Third, the participants in this study suggested a real need for additional resources to support and expand their own media literacy skills, which could be shared with patients.
CONCLUSION
In an ever expanding media landscape with greater reporting on health, nurses working in the primary care setting face increasing pressure to effectively manage media stories that dispute current health policies and practices. These primary care nurses were keen to expand their media literacy skills to develop critical autonomy in relation to all media, and to facilitate more meaningful conversations with their patients about their health concerns and choices.
背景
大众媒体在向患者传达健康研究和服务信息，以及塑造公众对健康的看法和决策方面发挥着重要作用。医疗保健专业人员在为患者提供广泛的健康问题的可信、基于证据和最新信息方面也发挥着重要作用。本研究旨在探讨初级保健护士如何体验大众媒体对一线医疗保健的影响。
方法
对 18 名在英国工作的初级保健护士（9 名健康访问者和 9 名执业护士）进行了深入的电话访谈。采访进行了录音和转录。使用主题分析进行数据分析，重点是恒定性比较分析。
结果
从数据中出现了三个主题。首先，参与者报告说，他们的患者经常受到媒体报道的有争议的健康故事的影响，这影响了他们对护理的看法和决定。这反过来又影响了参与者的工作量，因为他们不得不花费额外的时间讨论信息并安抚患者。其次，参与者还回忆起他们职业生涯中的一些时候，媒体报道导致他们对当前医疗保健实践和治疗的信心下降。第三，本研究的参与者认为，确实需要额外的资源来支持和扩大他们自己的媒体素养技能，这些技能可以与患者分享。
结论
在媒体对健康的报道不断扩大的背景下，在初级保健环境中工作的护士面临着越来越大的压力，需要有效地管理与当前卫生政策和做法有争议的媒体报道。这些初级保健护士渴望扩大他们的媒体素养技能，以发展对所有媒体的批判性自主权，并促进与患者就他们的健康问题和选择进行更有意义的对话。
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