a Institute of Public Health, Department of Nursing Science , Aarhus University , Copenhagen , Denmark.
b Department of Neurology , Zealand University Hospital , Roskilde , Denmark.
Int J Qual Stud Health Well-being. 2017 Dec;12(1):1360699. doi: 10.1080/17482631.2017.1360699.
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.
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。