Department of Physiotherapy, OsloMet- Oslo Metropolitan University, Oslo, Norway.
Department of Physiotherapy, OsloMet- Oslo Metropolitan University, Oslo, Norway.
Patient Educ Couns. 2019 Nov;102(11):1991-2000. doi: 10.1016/j.pec.2019.05.017. Epub 2019 May 21.
The aim of this article was to synthesize research findings about health care providers' experiences of patient-centered care in the home setting.
This is a meta-synthesis of qualitative findings using the analytical method of meta-ethnography developed by Noblit and Hare. We performed a systematic literature search in seven databases and assessed potential studies against eligibility criteria and quality. Subsequently, 10 primary studies were included for analysis.
The core theme "being a balance artist" emerged from the synthesis, incorporating the participants' experiences when faced with conflicting and competing responsibilities and needs. Two subthemes-"balancing the older clients' needs against organizational demands" and "balancing the older clients' needs against professional standards"-further elaborated on this core theme.
Health care providers' experiences indicate that organizational factors play a crucial role in shaping the conditions for patient-centered care for older people in the home setting.
To motivate and facilitate health care providers to move to a more patient-centered practice, it is important to expand the values of patient-centered care beyond the clinical encounter into the organization.
本文旨在综合研究医疗保健提供者在家庭环境中提供以患者为中心的护理的体验。
这是使用 Noblit 和 Hare 开发的元民族志分析方法对定性研究结果进行的元综合。我们在七个数据库中进行了系统的文献检索，并根据资格标准和质量评估了潜在的研究。随后，纳入了 10 项进行分析的原始研究。
综合分析得出核心主题为“成为平衡艺术家”，其中包含了参与者在面对冲突和竞争的责任和需求时的体验。两个子主题——“平衡老年客户的需求与组织需求”和“平衡老年客户的需求与专业标准”进一步阐述了这一核心主题。
医疗保健提供者的经验表明，组织因素在塑造家庭环境中为老年人提供以患者为中心的护理的条件方面起着至关重要的作用。
为了激励和促进医疗保健提供者转向更以患者为中心的实践，将以患者为中心的护理的价值观从临床接触扩展到组织中非常重要。
