高危小儿哮喘护理中更好的家庭 - 临床医生合作关系教学
Teaching About Better Family-Clinician Partnerships in High-Risk Pediatric Asthma Care.
作者信息
Michalopoulou Georgia, Briller Sherylyn, Myers-Schim Stephanie, Muklewicz Kaitlin C, Katzer Kimberly Compton, Secord Elizabeth, Crider Beverly, Wasiluk Julia
机构信息
Department of Psychiatry and Behavioral Neurosciences, School of Medicine, Wayne State University, Detroit, MI, USA.
Department of Anthropology, Wayne State University, Detroit, MI, USA.
出版信息
J Patient Exp. 2016 Sep;3(3):96-99. doi: 10.1177/2374373516666976. Epub 2016 Sep 14.
Family-clinician partnership including communication, trust, respect, and power leveling is essential in pediatrics. Our case study illustrates elements supporting/hindering partnership in a high-risk urban pediatric asthma clinic. Data from observation of a 100-minute visit were qualitatively analyzed by applying codes to themes, using family-centered principles. Three key categories emerged from examining interactions and their sequencing: (1) partnership supported, (2) partnership missed, and (3) partnership hindered. Practitioners must become more sensitive to families' lives and skilled in family-centered care delivery. Clinician education about partnership can help with negotiating workable treatment strategies for complex conditions such as asthma and reduce health disparities.
在儿科学中，家庭与临床医生的伙伴关系，包括沟通、信任、尊重和平权，至关重要。我们的案例研究阐述了在一个高风险城市儿科哮喘诊所中支持/阻碍伙伴关系的因素。通过运用以家庭为中心的原则，将代码应用于主题，对一次100分钟就诊的观察数据进行了定性分析。通过审视互动及其顺序，出现了三个关键类别：（1）支持伙伴关系，（2）错失伙伴关系，（3）阻碍伙伴关系。从业者必须对家庭生活更加敏感，并熟练掌握以家庭为中心的护理服务。关于伙伴关系的临床医生教育有助于为哮喘等复杂病症协商可行的治疗策略，并减少健康差距。
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