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一种生活世界理论导向的行动研究过程,旨在实现服务人性化:改善老年人“重要的事物”,以增强人性化关怀。

A lifeworld theory-led action research process for humanizing services: improving "what matters" to older people to enhance humanly sensitive care.

机构信息

School of Health Sciences, University of Brighton , Brighton, UK.

Faculty of Health and Social Sciences, Bournemouth University , Bournemouth, UK.

出版信息

Int J Qual Stud Health Well-being. 2020 Dec;15(1):1817275. doi: 10.1080/17482631.2020.1817275.

Abstract

: Using a theory-led action research process test applicability of humanizing care theory to better understand what matters to people and assess how the process can improve human dimensions of health care services. Consideration of the value of this process to guide enhancements in humanly sensitive care and investigate transferable benefits of the participatory strategy for improving human dimensions of health care services. : Action research with service users, practitioners and academics, with participatory processes led through the application of theory via a novel Humanizing Care Framework in two diverse clinical settings. : Participants engaged in a theory-led participatory process, understood and valued the framework seeing how it relates to own experiences. Comparative analysis of settings identified transferable processes with potential to enhance human dimensions of care more generally. We offer transferable strategy with contextualized practical details of humanizing processes and outcomes that can contribute to portable pathways to enhance dignity in care through application of humanizing care theory in practice. : The theoretical framework is a feasible and effective guide to enhance human dimensions of care. Our rigorous participative process facilitates sharing of patient and staff experience, sensitizing practitioners' understandings and helping develop new ways of providing theoretically robust person-centred care based on lifeworld approaches.

摘要

采用理论导向的行动研究方法,检验人性化护理理论在更好地理解患者关注重点和评估该过程如何改善医疗服务人性化维度方面的适用性。考虑这一过程对于指导人性化关怀的改进和研究参与式策略在改善医疗服务人性化维度方面的可转移性益处的价值。 在两个不同的临床环境中,通过新颖的人性化护理框架,以服务使用者、从业者和学者为对象,开展行动研究,通过理论的应用来引领参与式进程。 参与者参与了一个理论导向的参与式进程,理解并重视该框架,看到它与自身经验的关联。对不同环境的比较分析确定了具有普遍增强关怀人性化维度潜力的可转移性进程。我们提供了具有可转移性的策略,其中包含人性化进程和结果的背景化实用细节,可通过人性化护理理论在实践中的应用,为增强关怀中的尊严提供可移植的途径。 理论框架是增强关怀人性化维度的可行且有效的指导方法。我们严谨的参与式进程有助于分享患者和员工的经验,提高从业者的敏感性,并帮助根据生活世界方法制定提供理论上稳健的以患者为中心的关怀的新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80db/7717129/c376fdc627e1/ZQHW_A_1817275_F0001_OC.jpg

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