Lavoie-Tremblay Mélanie, O'Connor Patricia, Biron Alain, MacGibbon Brenda, Cyr Guylaine, Fréchette Julie
Author Affiliations: Ingram School of Nursing, McGill University (Drs Lavoie-Tremblay and Cyr and Ms O'Connor); McGill University Health Center (Dr Biron and Ms O'Connor); Department of Mathematics, University of Quebec at Montreal (Dr MacGibbon); and Douglas Mental Health University Institute (Ms Fréchette), Montreal, Quebec, Canada.
Health Care Manag (Frederick). 2016 Oct/Dec;35(4):284-293. doi: 10.1097/HCM.0000000000000132.
This article presents the experiences of patients engaged in co-designing care under a program entitled, "Transforming Care at the Bedside," based at an academic health sciences center. This descriptive, qualitative study collected data through individual interviews. Participants included patients from 5 units in an academic health sciences center in Quebec, Canada. A total of 6 individual interviews were conducted in November 2014, 15 months after the Transforming Care at the Bedside work began in September 2013. Content analysis was used to analyze the qualitative data. Being listened to and informed gave patients an opportunity to better understand patient needs and the complexity of care in the unit and in the organization. The experience enabled patients to better translate the patient experience for the team's benefit and influence the team's perspective and decisions. Through this experience, several patients felt motivated and empowered and that they afforded consideration through this experience. This study highlights the importance of creating opportunities for patients and health care providers to share their unique experiences and expertise to better understand each other's reality. In this context, they developed a more comprehensive understanding of the issues and worked together to implement realistic changes on behalf of the patients.
本文介绍了参与一个名为“床边护理变革”项目的患者的经历,该项目设在一所学术健康科学中心。这项描述性定性研究通过个人访谈收集数据。参与者包括来自加拿大魁北克一所学术健康科学中心5个科室的患者。在2013年9月“床边护理变革”工作开始15个月后的2014年11月,共进行了6次个人访谈。采用内容分析法对定性数据进行分析。被倾听和了解情况让患者有机会更好地理解患者需求以及科室和机构中护理工作的复杂性。这种经历使患者能够更好地为团队利益诠释患者体验,并影响团队的观点和决策。通过这次经历,一些患者感到受到激励和有了力量,并且觉得自己通过这次经历得到了考虑。本研究强调了为患者和医疗服务提供者创造机会以分享他们独特的经验和专业知识从而更好地了解彼此现实情况的重要性。在这种背景下,他们对问题有了更全面的理解,并共同努力为患者实施切实可行的变革。