Williams Veronika, Kinnear Deborah, Victor Christina
Nuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, UK.
J Adv Nurs. 2016 Apr;72(4):782-90. doi: 10.1111/jan.12878. Epub 2016 Jan 5.
To explore healthcare professionals' perspectives of dignified care and experiences of providing care.
Although 'care' and dignity in care are seen as central to the delivery of good care by patients, families and professionals, we still lack a clear understanding of what these, often contested and elusive concepts, mean in the practice setting, particularly from the perspective of healthcare professionals.
Interview based qualitative research design.
In-depth interviews were conducted with healthcare professionals working in four UK NHS trusts. Data were collected between June-November 2012. Interviews were audio-recorded, transcribed and analysed using thematic analysis.
Forty-eight healthcare professionals took part in this interview based study. Two main themes that encapsulated how care and dignity in care is enacted by professionals were identified: focusing on the 'little' things that matter to both professionals and patients; and improving care by making poor care 'visible'.
Our findings show that the 'little things' in care allow professionals to 'care for' but also 'care about' patients, suggesting that these two aspects of caring become intrinsically interlinked. Our findings also suggest that 'making poor care visible' challenges engrained and task rather than human focused care in a non-threatening way, which can be the catalyst for providing care that is caring and dignified.
探讨医疗保健专业人员对尊严护理的看法以及提供护理的经历。
尽管“护理”和护理中的尊严被患者、家属和专业人员视为提供优质护理的核心，但我们仍不清楚这些常常存在争议且难以捉摸的概念在实践环境中意味着什么，尤其是从医疗保健专业人员的角度来看。
基于访谈的定性研究设计。
对在英国四个国民保健服务信托机构工作的医疗保健专业人员进行了深入访谈。数据收集于2012年6月至11月之间。访谈进行了录音、转录，并使用主题分析法进行分析。
48名医疗保健专业人员参与了这项基于访谈的研究。确定了两个主要主题，概括了专业人员如何践行护理和护理中的尊严：关注对专业人员和患者都重要的“小事”；通过使劣质护理“可见”来改善护理。
我们的研究结果表明，护理中的“小事”使专业人员能够“照顾”患者，同时也能“关心”患者，这表明护理的这两个方面在本质上相互关联。我们的研究结果还表明，“使劣质护理可见”以一种无威胁的方式挑战了根深蒂固的、以任务而非人为中心的护理模式，这可能成为提供有爱心和有尊严护理的催化剂。
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