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以患者为中心的护理障碍:一项主题分析研究。

Barriers to patient-centered care: a thematic analysis study.

作者信息

Esmaeili Maryam, Ali Cheraghi Mohammad, Salsali Mahvash

机构信息

School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Int J Nurs Knowl. 2014 Feb;25(1):2-8. doi: 10.1111/2047-3095.12012. Epub 2013 Nov 13.

Abstract

PURPOSE

To explore nurses' attitudes and experience toward the barriers to achieving patient-centered care in the critical care setting.

METHODS

A qualitative exploratory design with thematic analysis approach was used to collect and analyze data, and identify barriers to patient-centered care. Data collection was based on in-depth semi-structured interviews.

FINDINGS

Data analyses resulted in the identification of three themes: (a) lack of common understanding of teamwork, (b) individual barriers, and (c) organizational barriers.

CONCLUSION

This study goes beyond reporting problems with patient-centered care to try to understand why patients do not always receive high-quality care.

IMPLICATION FOR NURSING PRACTICE

For achieving patient-centered care, not only nurses' individual efforts in following up-to-date evidence-based practice and having a holistic view are necessary, but also team coordination, organizational support, and elimination of nursing job problems.

摘要

目的

探讨护士对重症监护环境中实现以患者为中心护理的障碍的态度和经历。

方法

采用定性探索性设计和主题分析方法收集和分析数据,确定以患者为中心护理的障碍。数据收集基于深入的半结构化访谈。

结果

数据分析确定了三个主题:(a)对团队合作缺乏共同理解,(b)个人障碍,以及(c)组织障碍。

结论

本研究不仅报告了以患者为中心护理的问题,还试图理解患者为何并非总能获得高质量护理。

对护理实践的启示

为实现以患者为中心的护理,不仅护士个人在遵循最新循证实践和拥有整体观念方面的努力是必要的,团队协作、组织支持以及消除护理工作问题也很重要。

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