Pryce Helen, Hall Amanda, Gooberman-Hill Rachael
Centre for Hearing and Balance Studies, University of Bristol, Bristol, UK; School of Life and Health Sciences, Aston University, Birmingham, UK.
Centre for Hearing and Balance Studies, University of Bristol, Bristol, UK; Children's Hearing Centre, St Michael's Hospital, Bristol, UK.
Patient Educ Couns. 2015 Aug;98(8):954-60. doi: 10.1016/j.pec.2015.04.005. Epub 2015 Apr 16.
To explore interactions between audiology patients and volunteers, to describe encounters and define the role of volunteers.
Qualitative ethnographic and interview study of volunteer-patient interactions. Ten volunteer participants from two volunteer schemes in South West England were observed and interviewed. Three patient participants were interviewed.
Analysis of observational data showed that volunteers provided support relating to local services and hearing aids, but did not engage in discussions about hearing loss. Interviews with volunteers identified gaps in audiology provision, including accessible services and clear information and highlighted a need for more support from audiology services to enable them to fulfil their role. Volunteer interactions with patients mimicked a clinician-patient encounter and volunteers employed strategies and behaviours used by professional audiologists.
Audiology volunteers could provide an accessible bridge between health services and the community but their care is limited to focus on hearing aids.
Volunteers enable patients to use hearing aids appropriately and are a core element of current care arrangements. However, volunteers express a need for adequate support from audiology services. Volunteers have the potential to increase service capacity and to bridge the gaps between community and audiology healthcare services.
探讨听力学患者与志愿者之间的互动,描述二者的接触情况并界定志愿者的角色。
对志愿者与患者的互动进行定性人种学和访谈研究。观察并访谈了来自英格兰西南部两个志愿者项目的10名志愿者参与者。对3名患者参与者进行了访谈。
对观察数据的分析表明,志愿者提供了与当地服务和助听器相关的支持,但未参与有关听力损失的讨论。对志愿者的访谈发现了听力学服务方面的差距,包括可及的服务和清晰的信息,并强调需要听力学服务提供更多支持,以使他们能够履行职责。志愿者与患者的互动类似于临床医生与患者的接触,志愿者采用了专业听力学家使用的策略和行为。
听力学志愿者可以在医疗服务与社区之间搭建一座可及的桥梁,但他们的护理仅限于关注助听器。
志愿者使患者能够正确使用助听器,是当前护理安排的核心要素。然而,志愿者表示需要听力学服务提供充分的支持。志愿者有潜力提高服务能力,并弥合社区与听力学医疗服务之间的差距。