Bamm Elena L, Rosenbaum Peter, Wilkins Seanne, Stratford Paul, Mahlberg Nadilein
McMaster University, Hamilton, Ontario, Canada.
Glob Qual Nurs Res. 2015 Apr 15;2:2333393615582036. doi: 10.1177/2333393615582036. eCollection 2015 Jan-Dec.
Patient or client-centered care has been widely accepted as an essential component of health care delivery in many countries. Few studies explore actual implementation of client-centered principles and clients' and health care providers' (HCPs) experiences with these approaches. Our objective was to explore current models of delivery of rehabilitation services from the perspectives of patients, families, and HCPs. We conducted semistructured interviews with patients, families, and HCPs of one of four rehabilitation facilities in South-Central Ontario, Canada. was the main category identified by both clients and HCPs. Although successful partnerships were created, the majority of clients assumed a passive position. Clients needed more information about the rehabilitation progression and alternative treatment options. The results of the study suggest that we need to encourage and educate clients to become motivated, well-informed, proactive participants in their care.
以患者或客户为中心的护理在许多国家已被广泛接受为医疗服务的重要组成部分。很少有研究探讨以客户为中心原则的实际实施情况以及客户和医疗服务提供者(HCPs)对这些方法的体验。我们的目标是从患者、家庭和HCPs的角度探索当前康复服务的提供模式。我们对加拿大安大略省中南部四个康复设施之一的患者、家庭和HCPs进行了半结构化访谈。这是客户和HCPs都确定的主要类别。虽然建立了成功的伙伴关系,但大多数客户处于被动地位。客户需要更多关于康复进展和替代治疗选择的信息。研究结果表明,我们需要鼓励和教育客户成为积极主动、了解情况的护理参与者。