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消费者对输血相关信息的认知。对消费者和处方者的定性研究。

Perceptions on consumer information in transfusion. A qualitative study of consumers and prescribers.

机构信息

University of New South Wales, Sydney, New South Wales, Australia.

ACT Health Blood Counts Program, Canberra, Australian Capital Territory, Australia.

出版信息

Vox Sang. 2021 Jan;116(1):81-87. doi: 10.1111/vox.12934. Epub 2020 May 4.

Abstract

BACKGROUND AND OBJECTIVES

Fresh blood product transfusion requires patient education for fully informed consent, and written consumer information is frequently used. Few studies have examined consumer preferences regarding written and verbal transfusion information provided. As a qualitative study, this research was designed to explore participant understanding and by analysing and integrating themes, generate a model to understand how transfusion information should be developed and used in practice.

MATERIALS AND METHODS

Semi-structured interviews were conducted with healthcare consumers of transfusion information from various hospital clinical departments. Transcripts were coded to qualitatively compare nature/extent of content and opinions regarding transfusion information through thematic analysis.

RESULTS

Analysis identified themes relating to healthcare engagement, purpose of information, mode of delivery and content delivered. Differences were identified between perceived purpose of information provided to consumers between 13 transfusion prescribers and consumers. Prescribers viewed information as a tool for obtaining informed consent, whereas consumers desired reassurance and knowledge. Consumers described both the specialized nature and volume of information as limiting their ability to question professionals on whom they were dependent. Information provided should be tailored to consumers and utilize simple, succinct explanations.

CONCLUSION

Both groups were satisfied with written information adjunctive to verbal information. These findings will be used to redesign transfusion information and may be employed at the bedside when discussing transfusion. They may have implications for consumer information in other settings.

摘要

背景和目的

新鲜血液制品的输注需要患者知情同意,并提供教育,书面的消费者信息通常被使用。然而,关于书面和口头输注信息的消费者偏好的研究却很少。本研究旨在探索参与者的理解,并通过分析和整合主题,生成一个模型,以了解如何在实践中开发和使用输血信息。

材料和方法

对来自不同医院临床科室的输血信息的医疗保健消费者进行半结构化访谈。对转录本进行编码,通过主题分析对输血信息的内容和意见进行定性比较。

结果

分析确定了与医疗保健参与、信息目的、传递模式和传递内容相关的主题。在 13 名输血医嘱开具者和消费者之间,对提供给消费者的信息的目的的感知存在差异。医嘱开具者将信息视为获得知情同意的工具,而消费者则希望获得保证和知识。消费者描述了信息的专业性和信息量,这限制了他们对所依赖的专业人员进行质疑的能力。提供的信息应根据消费者的需求进行定制,并采用简单、简洁的解释。

结论

两组人对口头信息辅以书面信息都感到满意。这些发现将用于重新设计输血信息,并可能在讨论输血时在床边使用。它们可能对其他环境中的消费者信息产生影响。

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