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人文关怀方法的实施:对医疗保健质量的贡献。

Implementation of the Humanitude Care Methodology: contribution to the quality of health care.

作者信息

Henriques Liliana Vanessa Lúcio, Dourado Marilia de Assunção Rodrigues Ferreira, Melo Rosa Cândida Carvalho Pereira de, Tanaka Luiza Hiromi

机构信息

Santa Casa da Misericórdia, Coimbra, Portugal.

Universidade de Coimbra, Faculdade de Medicina, Coimbra, Portugal.

出版信息

Rev Lat Am Enfermagem. 2019 Jan 17;27:e3123. doi: 10.1590/1518-8345.2430-3123.

DOI:10.1590/1518-8345.2430-3123
PMID:30698221
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6336364/
Abstract

OBJECTIVE

to evaluate the contribution of the implementation of the Humanitude Care Methodology to the quality of health care in a Continuing Care Unit.

METHOD

an action-research study with a non-probability convenience sampling, involving 34 health professionals from one unit in Portugal. Data was collected through a questionnaire and an observation worksheet for the Structured Sequence of Humanitude Care Procedures. We used data content analysis with the Statistical Package for Social Science, version 17.0.

RESULTS

health professionals demonstrated difficulties to provide care for people who are agitated, confused, disoriented, aggressive and who refuse care, and to communicate with patients who do not communicate verbally. The professionals valued the accomplishment of the stages of the observation worksheet. There were discrepancies between the perception of accomplishment and the actual practice. Throughout the implementation of the methodology, there was an increase in the practical application of the procedures, with positive repercussion for the patients and for the professionals.

CONCLUSION

the results allowed to perceive the contribution of the process of implementation of the methodology, through the positive transformations in health care delivery.

摘要

目的

评估人文关怀方法的实施对持续护理单元医疗质量的贡献。

方法

一项采用非概率便利抽样的行动研究,涉及葡萄牙一个单元的34名卫生专业人员。通过一份问卷和一份人文关怀程序结构化序列观察工作表收集数据。我们使用社会科学统计软件包第17.0版进行数据内容分析。

结果

卫生专业人员在为烦躁不安、困惑、迷失方向、具有攻击性以及拒绝护理的患者提供护理,以及与非言语沟通的患者进行交流方面存在困难。专业人员重视观察工作表各阶段的完成情况。在完成情况的认知与实际做法之间存在差异。在该方法的实施过程中,程序的实际应用有所增加,对患者和专业人员都产生了积极影响。

结论

通过医疗服务的积极转变,这些结果使我们能够认识到该方法实施过程的贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bf/6336364/dc1b460987c4/0104-1169-rlae-27-e3123-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bf/6336364/1707ee0b26fa/0104-1169-rlae-27-e3123-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bf/6336364/dc1b460987c4/0104-1169-rlae-27-e3123-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bf/6336364/1707ee0b26fa/0104-1169-rlae-27-e3123-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bf/6336364/dc1b460987c4/0104-1169-rlae-27-e3123-gf2.jpg

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