School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
BMJ Open. 2019 Apr 25;9(4):e027699. doi: 10.1136/bmjopen-2018-027699.
This study aimed to explore healthcare professionals' (HCPs') perspectives of asthma through their drawings, and their responses when viewing patients' drawings of their experiences of asthma.
A qualitative exploratory study with a purposive, convenience sample of participants. Participants were asked to first express their perspectives of asthma in a drawing, which was followed by a review of drawings made by patients with asthma.
Primary and tertiary HCPs from Sydney, Australia.
Twenty-three HCPs from a range of health professions.
The HCPs illustrated their perspective of asthma through drawings which were largely biomedically framed, depicting physiological and clinical aspects of asthma. In contrast, their discussion around the patients' drawings centred on the person more than the condition. The patients' drawings triggered the HCPs to revisit their personal expectations of their patients' illness experience; prompted differing degrees of acknowledgement and empathy regarding the patient experience; and encouraged clinical reflexivity.
Our findings provide support for the educational application of patients' drawings in bringing HCPs closer to the patient lived experience. The drawings fostered deeper insight into patient perspectives of asthma and stimulated critical reflection on current healthcare practices.
本研究旨在通过医疗保健专业人员(HCPs)的绘画来探索他们对哮喘的看法,并了解他们在观看哮喘患者绘画时的反应。
一项定性探索性研究,采用有目的的便利抽样方法选取参与者。要求参与者首先用绘画表达他们对哮喘的看法,然后再对哮喘患者的绘画进行回顾。
澳大利亚悉尼的初级和三级 HCPs。
来自各种医疗保健专业的 23 名 HCPs。
HCPs 通过绘画描绘了他们对哮喘的看法,这些绘画主要从生物医学角度出发,描绘了哮喘的生理和临床方面。相比之下,他们围绕患者绘画的讨论重点是患者本人,而不是疾病状况。患者的绘画促使 HCPs重新审视他们对患者疾病体验的个人期望;引发了对患者体验的不同程度的认可和同理心;并鼓励临床反思。
我们的研究结果为将患者的绘画应用于教育,使 HCPs 更接近患者的实际体验提供了支持。这些绘画深入了解了患者对哮喘的看法,并激发了对当前医疗保健实践的批判性反思。