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什么是以患者为中心的护理?对肿瘤医护人员以及患者和家属以患者为中心的护理体验的质性探究。

What is Person-Centred Care? A Qualitative Inquiry into Oncology Staff and Patient and Family Experience of Person-Centred Care.

作者信息

Calisi Romina, Boyko Susan, Vendette Angela, Zagar Anthony

机构信息

Radiation Treatment Program, Northeast Cancer Centre, Sudbury, Ontario, Canada.

Human Sciences Division, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.

出版信息

J Med Imaging Radiat Sci. 2016 Dec;47(4):309-314. doi: 10.1016/j.jmir.2016.08.007. Epub 2016 Oct 27.

Abstract

INTRODUCTION

To investigate the understanding and practice of person-centred care by health care professionals and support staff at a cancer centre and to learn how patients and family members understand and experience person-centred care.

METHODS

The study was conducted in two phases. Phase 1 used large wall mounted posters and marking pens in public areas of the cancer centre to gather comments from staff, volunteers, students, patients, family members, and visitors to answer the question, "What does person-centred care mean to you?" Phase 2 used a six-question, open-ended, paper-based questionnaire for staff and patients. A manual coding technique was used to derive themes from both posters and questionnaires.

RESULTS

We derived 97 themes from the posters and 134 themes from 44 returned questionnaires (survey response rate of 37%). When the themes were combined and reprioritized, we learned that person-centred care is: (1) care that is caring, compassionate, and empathetic; (2) person or patient is the centre of focus; (3) care is unique to the individual's needs; and (4) person or patient is a part of their care. Furthermore, all staff should provide person-centred care.

CONCLUSIONS

Our findings describe what our staff, patients, and family members believe person-centred care is, and how it should be delivered. Based on this research study, we recommend promoting additional dialogue and continuing education opportunities for health care professionals and other front-line staff who will assist them to complete the statement, "I demonstrate person-centred care by…" to their own satisfaction in the future.

摘要

引言

调查癌症中心医护人员和支持人员对以患者为中心的护理的理解与实践,并了解患者及其家庭成员对以患者为中心的护理的理解和体验。

方法

该研究分两个阶段进行。第一阶段在癌症中心的公共区域使用大型壁挂式海报和记号笔,收集工作人员、志愿者、学生、患者、家庭成员和访客的意见,以回答“以患者为中心的护理对你意味着什么?”这一问题。第二阶段对工作人员和患者使用一份包含六个问题的开放式纸质问卷。采用人工编码技术从海报和问卷中提炼主题。

结果

我们从海报中提炼出97个主题,从44份回收的问卷中提炼出134个主题(调查回复率为37%)。当将这些主题合并并重新排序时,我们了解到以患者为中心的护理是:(1)体贴、富有同情心且善解人意的护理;(2)个人或患者是关注的核心;(3)护理是根据个人需求量身定制的;(4)个人或患者是其护理的一部分。此外,所有工作人员都应提供以患者为中心的护理。

结论

我们的研究结果描述了我们的工作人员、患者和家庭成员所认为的以患者为中心的护理是什么,以及应如何提供这种护理。基于这项研究,我们建议为医护人员和其他一线工作人员提供更多对话和继续教育机会,以帮助他们在未来能够满意地完成“我通过……来展示以患者为中心的护理”这句话。

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