基层医疗记忆诊所中医疗服务提供者的经历：一项现象学研究。
Health care provider experiences in primary care memory clinics: a phenomenological study.
作者信息
Sheiban Linda, Stolee Paul, McAiney Carrie, Boscart Veronique
机构信息
School of Public and Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Schlegel Centre for Advancing Seniors Care, Conestoga College, Kitchener, Ontario, Canada.
出版信息
BMC Fam Pract. 2018 May 19;19(1):68. doi: 10.1186/s12875-018-0756-z.
BACKGROUND
There is a growing need for community-based services for persons with Alzheimer's disease and related dementias (ADRD). Memory clinic (MC) teams in primary care settings have been established to provide care to people with ADRD. To consider wider adoption of these MC teams, insight is needed into the experiences of practitioners working in these models. The purpose of the current study is to explore the experiences of health care providers (HCPs) who work in primary care Memory Clinic (MC) teams to provide care to persons with Alzheimer's disease and related dementias (ADRD).
METHODS
This study utilized a phenomenological methodology to explore experiences of 12 HCPs in two primary care MCs. Semi-structured interviews were completed with each HCP. Interviews were recorded and transcribed verbatim. Colaizzi's steps for analyzing phenomenological data was utilized by the authors.
RESULTS
Three themes emerged from the analysis to describe HCP experiences: supporting patients and family members during ADRD diagnosis and treatment, working in a team setting, and personal and professional rewards of caring for people with ADRD and their family members.
CONCLUSIONS
Findings provide insight into current practices in primary care MCs and on the motivation of HCPs working with persons with ADRD.
背景
对于为患有阿尔茨海默病及相关痴呆症（ADRD）的人提供基于社区的服务的需求日益增长。在初级保健机构中已设立记忆诊所（MC）团队，为患有ADRD的人提供护理。为了考虑更广泛地采用这些MC团队，需要深入了解在这些模式下工作的从业者的经历。本研究的目的是探索在初级保健记忆诊所（MC）团队中工作，为患有阿尔茨海默病及相关痴呆症（ADRD）的人提供护理的医疗保健提供者（HCP）的经历。
方法
本研究采用现象学方法，探索两个初级保健MC中12名HCP的经历。对每位HCP进行了半结构化访谈。访谈进行了录音并逐字转录。作者采用了科莱齐分析现象学数据的步骤。
结果
分析得出三个主题来描述HCP的经历：在ADRD诊断和治疗期间支持患者和家庭成员、在团队环境中工作以及照顾患有ADRD的人和他们的家庭成员所带来的个人和职业回报。
结论
研究结果为初级保健MC的当前实践以及与患有ADRD的人一起工作的HCP的动机提供了见解。
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