《以患者为中心的护理指南：从原则到实践》
The Person-Centred Care Guideline: From Principle to Practice.
作者信息
Moody Lesley, Nicholls Brett, Shamji Hannah, Bridge Erica, Dhanju Suman, Singh Simron
机构信息
Cancer Care Ontario, Toronto, Ontario, Canada.
Division of Medical Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
出版信息
J Patient Exp. 2018 Dec;5(4):282-288. doi: 10.1177/2374373518765792. Epub 2018 Apr 4.
BACKGROUND
A standardized definition and approach for the delivery of person-centered care (PCC) in cancer care that is agreed upon by all key policy makers and clinicians is lacking. The PCC Guideline defines core PCC principles to outline a level of service that every person accessing cancer services in Ontario, Canada should expect to receive. This article describes the dissemination of the PCC Guideline in practice.
METHODS
Three strategies were utilized: (1) educational intervention via a PCC video, (2) media engagement, and (3) research/knowledge user networks.
RESULTS
As of October 2016, the PCC video has been viewed 7745 times across 92 countries. Significant mean differences pre- and post-PCC video were found for understanding of PCC principles ( < .001) and perceived ability to bring these PCC principles to practice ( < .001). Through content analysis, the PCC Guideline recommendations were referenced 236 times, with "Enabling Patients to Actively Participate in their Care" (n = 81), and "Essential Requirements of Care" (n = 79) being referenced most frequently.
CONCLUSIONS
These strategies are an effective way to target multiple PCC stakeholders in the health-care system to increase awareness of the PCC Guideline, in order to further impart knowledge of PCC behaviors.
背景
在癌症护理中，缺乏一种所有关键政策制定者和临床医生都认可的、用于提供以患者为中心的护理（PCC）的标准化定义和方法。PCC指南定义了核心PCC原则，以勾勒出加拿大安大略省每个接受癌症服务的人都应期望获得的服务水平。本文描述了PCC指南在实践中的传播情况。
方法
采用了三种策略：（1）通过PCC视频进行教育干预，（2）媒体参与，以及（3）研究/知识用户网络。
结果
截至2016年10月，PCC视频在92个国家被观看了7745次。在对PCC原则的理解（<.001）和将这些PCC原则应用于实践的感知能力（<.001）方面，PCC视频前后存在显著的平均差异。通过内容分析，PCC指南建议被引用了236次，其中“使患者能够积极参与其护理”（n = 81）和“护理的基本要求”（n = 79）被引用得最为频繁。
结论
这些策略是针对医疗保健系统中多个PCC利益相关者的有效方式，以提高对PCC指南的认识，从而进一步传授PCC行为的知识。
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