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本文引用的文献

1
Protected Mealtimes in hospitals and nutritional intake: Systematic review and meta-analyses.医院中的受保护用餐时间与营养摄入:系统评价与荟萃分析
Int J Nurs Stud. 2017 Jan;65:62-69. doi: 10.1016/j.ijnurstu.2016.11.002. Epub 2016 Nov 10.
2
Mealtimes in a neurological ward: a phenomenological-hermeneutic study.神经科病房的用餐时间:一项现象学-诠释学研究
J Clin Nurs. 2016 Jun;25(11-12):1614-23. doi: 10.1111/jocn.13161. Epub 2016 Apr 20.
3
Assisted or Protected Mealtimes? Exploring the impact of hospital mealtime practices on meal intake.辅助进餐还是保护性进餐?探究医院进餐方式对食物摄入量的影响。
J Adv Nurs. 2016 Jul;72(7):1616-25. doi: 10.1111/jan.12940. Epub 2016 Mar 21.
4
An Evaluation of a Pilot Protected Mealtime Program in a Canadian Hospital.加拿大一家医院试点的受保护用餐时间计划评估
Can J Diet Pract Res. 2015 Jun;76(2):81-5. doi: 10.3148/cjdpr-2014-035. Epub 2015 Feb 17.
5
The efficacy of protected mealtimes in reducing mealtime interruptions and improving mealtime assistance in adult inpatients in an Australian hospital.保护用餐时间对减少澳大利亚医院成年住院患者用餐中断和改善用餐辅助的效果。
Eur J Clin Nutr. 2013 Sep;67(9):904-10. doi: 10.1038/ejcn.2013.126. Epub 2013 Jul 17.
6
Development of clinically meaningful complex interventions - the contribution of qualitative research.具有临床意义的复杂干预措施的开发——定性研究的贡献。
Pflege. 2013 Jun;26(3):207-14. doi: 10.1024/1012-5302/a000292.
7
The role of physical environment in supporting person-centered dining in long-term care: a review of the literature.物理环境在支持长期护理中的以患者为中心的餐饮中的作用:文献回顾。
Am J Alzheimers Dis Other Demen. 2013 Aug;28(5):491-500. doi: 10.1177/1533317513488923. Epub 2013 May 17.
8
Caregivers' lived experience of assisted feeding.照顾者对辅助喂养的体验。
J Clin Nurs. 2012 Oct;21(19-20):2966-74. doi: 10.1111/j.1365-2702.2012.04302.x.
9
Nursing interventions for improving nutritional status and outcomes of stroke patients: descriptive reviews of processes and outcomes.护理干预对改善脑卒中患者营养状况和结局的作用:对过程和结局的描述性评价。
Worldviews Evid Based Nurs. 2013 Feb;10(1):17-40. doi: 10.1111/j.1741-6787.2012.00255.x. Epub 2012 Jun 4.
10
Impact of protected mealtimes on ward mealtime environment, patient experience and nutrient intake in hospitalised patients.保护性用餐时间对住院患者病房用餐环境、患者体验和营养摄入的影响。
J Hum Nutr Diet. 2011 Aug;24(4):370-4. doi: 10.1111/j.1365-277X.2011.01167.x. Epub 2011 May 17.

培育美丽的天鹅:健康专业人员参与受保护用餐时间干预的体验的现象学-解释学诠释。

Raising a beautiful swan: a phenomenological-hermeneutic interpretation of health professionals' experiences of participating in a mealtime intervention inspired by Protected Mealtimes.

机构信息

a Institute of Public Health, Department of Nursing Science , Aarhus University , Copenhagen , Denmark.

b Department of Neurology , Zealand University Hospital , Roskilde , Denmark.

出版信息

Int J Qual Stud Health Well-being. 2017 Dec;12(1):1360699. doi: 10.1080/17482631.2017.1360699.

DOI:10.1080/17482631.2017.1360699
PMID:28835178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5590627/
Abstract

The British concept named Protected Mealtimes is known for stopping all non-acute activities and giving health professionals an opportunity to focus on providing patients their meals without being interrupted or disturbed. PM involves a cultural and behavioural change in the clinical setting, since health professionals are asked to adjust their daily routines. This study investigate how health professionals experience participating in a mealtime intervention inspired by the concept of Protected Mealtimes and intend to change mealtime practices. Three focus group interviews was conducted and included a total of 15 interdisciplinary staff members. After transcribing the interviews, the text material was analysed and interpreted in a three-methodological-step process inspired by the French philosopher Paul Ricoeur. In the analysis and interpretation three themes was identified. The themes were: (1) a chance towards a new and better scene; (2) a step towards a more neurologically friendly environment; and (3) a renewed view of the neurological patients. This study concludes that to the health professionals, the intervention was meaningful in several ways because it created structure during mealtimes and emphasized the importance of creating a calm environment for both patients and health professionals. The intervention was described as an eye-opening and well-regarded event in the field of neurological care that facilitated community, and reflections on nursing care and professional identity were expressed.

摘要

英国的“保护性进餐时间”理念广为人知,它通过停止一切非紧急活动,为医护人员提供集中精力为患者供餐的机会,使他们免受干扰。PM 涉及临床环境中的文化和行为改变,因为医护人员需要调整日常工作流程。本研究调查了医护人员在参与受“保护性进餐时间”理念启发的进餐干预时的体验,以及他们打算改变进餐实践的情况。我们进行了三次焦点小组访谈,共有 15 名跨学科工作人员参加。访谈转录后,我们采用法国哲学家保罗·利科(Paul Ricoeur)的三步方法论对文本材料进行了分析和解释。在分析和解释过程中,确定了三个主题。这些主题是:(1)新的和更好场景的机会;(2)迈向更具神经友好环境的一步;(3)对神经科患者的新看法。本研究的结论是,对医护人员来说,该干预措施在几个方面具有重要意义,因为它在进餐时间创造了结构,并强调了为患者和医护人员营造平静环境的重要性。该干预措施被描述为神经科护理领域的一个开拓性和备受推崇的事件,促进了社区建设,并对护理工作和专业身份进行了反思。