MacLellan Jennifer, Surey Julian, Abubakar Ibrahim, Stagg Helen R
University College London, Research Department of Infection and Population Health, 4th floor Mortimer Market, off Capper Street, London, United Kingdom.
PLoS One. 2015 Oct 30;10(10):e0141122. doi: 10.1371/journal.pone.0141122. eCollection 2015.
Peer support models, where an individual has a specific illness or lifestyle experience and supports others experiencing similar challenges, have frequently been used in different fields of healthcare to successfully engage hard-to-reach groups. Despite recognition of their value, the impact of these roles on the peer has not been systematically assessed. By synthesising the qualitative literature we sought to review such an impact, providing a foundation for designing future clinical peer models.
Systematic review and qualitative metasynthesis of studies found in Medline, CINAHL or Scopus documenting peer worker experiences.
1,528 papers were found, with 34 meeting the criteria of this study. Findings were synthesised to reveal core constructs of reframing identity through reciprocal relations and the therapeutic use of self, enhancing responsibility.
The ability of the Peer Support Worker to actively engage with other marginalised or excluded individuals based on their unique insight into their own experience supports a therapeutic model of care based on appropriately sharing their story. Our findings have key implications for maximising the effectiveness of Peer Support Workers and in contributing their perspective to the development of a therapeutic model of care.
同伴支持模式是指个体有特定疾病或生活方式经历，并为经历类似挑战的其他人提供支持，这种模式在医疗保健的不同领域经常被使用，以成功地接触到难以触及的群体。尽管认识到其价值，但这些角色对同伴的影响尚未得到系统评估。通过综合定性文献，我们试图审视这种影响，为设计未来的临床同伴模式奠定基础。
对在Medline、CINAHL或Scopus中找到的记录同伴工作者经历的研究进行系统综述和定性元分析。
共找到1528篇论文，其中34篇符合本研究标准。对研究结果进行综合分析，揭示了通过互惠关系和自我的治疗性运用来重塑身份、增强责任感的核心要素。
同伴支持工作者基于对自身经历的独特洞察，能够积极与其他边缘化或被排斥的个体互动，这支持了一种基于适当分享自身故事的治疗性护理模式。我们的研究结果对于最大化同伴支持工作者的有效性以及将他们的观点纳入治疗性护理模式的发展具有关键意义。
