Jobe Ingela, Lindberg Birgitta, Nordmark Sofi, Engström Åsa
Division of Nursing Department of Health Science Luleå University of Technology Luleå Sweden.
Health Department Norrbotten Region Luleå Sweden.
Nurs Open. 2018 Jan 20;5(2):120-130. doi: 10.1002/nop2.118. eCollection 2018 Apr.
The aim of this study was to describe the care-planning conference from the participants' and researchers' perspectives, focusing on exploring aspects of person-centred interactions.
A single-instrumental, qualitative case study design was used describing a care-planning conference taking place in the home of an older woman and her daughter.
Data collection consisted of observation and digital recording of the care-planning conference and individual interviews with all the participants before and after the conference. Data were analysed in several phases: first, a narrative description followed by a general description and, thereafter, qualitative content analysis.
The findings revealed that the care-planning conference conducted had no clear purpose and did not fulfil all parts of the planning process. Three themes emerged related to aspects of person-centred interactions. The theme "expectations meet reality" showed different expectations, and participants could not really connect during the conference. The theme "navigate without a map" revealed health professionals' lack of knowledge about the care-planning process. The theme "lose the forest for the trees" described that the conference was conducted only as part of the health professionals' duties. Management and healthcare professionals cannot automatically assume that they are delivering person-centred care. Healthcare professionals need to be sensitive to the context, use the knowledge and tools available and continuously evaluate and reassess the work carried out.
本研究旨在从参与者和研究者的角度描述护理计划会议，重点探索以患者为中心的互动方面。
采用单一工具的定性案例研究设计，描述在一位老年女性及其女儿家中举行的护理计划会议。
数据收集包括对护理计划会议的观察和数字记录，以及在会议前后对所有参与者进行的个人访谈。数据分几个阶段进行分析：首先是叙事性描述，然后是一般性描述，之后是定性内容分析。
研究结果显示，所举行的护理计划会议没有明确的目的，也没有完成计划过程的所有部分。出现了与以患者为中心的互动方面相关的三个主题。“期望与现实相遇”这一主题显示出不同的期望，并且参与者在会议期间无法真正建立联系。“没有地图盲目导航”这一主题揭示了卫生专业人员对护理计划过程缺乏了解。“只见树木不见森林”这一主题描述了该会议只是作为卫生专业人员职责的一部分进行的。管理人员和医疗保健专业人员不能想当然地认为他们提供的是以患者为中心的护理。医疗保健专业人员需要对具体情况保持敏感，利用现有的知识和工具，并不断评估和重新评估所开展的工作。
