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姑息治疗专业人士给他人的信息:一种民族志方法。

Palliative Care Professionals' Message to Others: An Ethnographic Approach.

机构信息

ATLANTES Research Group, Institute for Culture and Society, University of Navarra, 31009 Pamplona, Spain.

Health Research Institute of Navarra (IdiSNA), 31009 Pamplona, Spain.

出版信息

Int J Environ Res Public Health. 2021 May 17;18(10):5348. doi: 10.3390/ijerph18105348.

DOI:10.3390/ijerph18105348
PMID:34067892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8156736/
Abstract

INTRODUCTION

Palliative care continues to be misunderstood within the world of healthcare. Palliative care professionals are key agents for promoting a greater understanding of their field. This study aims to examine the messages, both implicit and explicit, that palliative care professionals transmit about themselves and their work within their teams and to other health professionals.

METHODS

Focused ethnographic secondary analysis, exploring the interactions of palliative care professionals as it happens at everyday work. An inductive thematic analysis was developed from 242 h of observation of the daily work practices of palliative care professionals, focusing on their interactions with others. The data was coded without predefined categories, and the analysis was performed independently by two researchers.

RESULTS

Palliative professionals communicate that they are part of an active team working in an organized manner. They value and feel proud of their work. Despite the intensity of their work, these professionals are always available to others, to whom they demonstrate a clear professional identity. They convey their expertise in alleviating suffering, respectful behavior and collaborative ability.

CONCLUSION

Professionals, in their daily work, communicate through their messages the essence of palliative care. It is essential that palliative care professionals perceive themselves as potential influencers and explicitly transmit the reasons for their intervention. Otherwise, others will perpetuate the myths, misunderstandings, and lack of a positive reputation for palliative care.

摘要

简介

在医疗保健领域,姑息治疗仍然被误解。姑息治疗专业人员是促进对其领域有更深入了解的关键因素。本研究旨在探讨姑息治疗专业人员在团队内部以及与其他卫生专业人员交流时,关于自己和工作所传达的隐含和明确信息。

方法

聚焦民族志二次分析,探索姑息治疗专业人员在日常工作中的互动。对 242 小时观察姑息治疗专业人员日常工作实践的内容进行了归纳主题分析,重点关注他们与他人的互动。数据是在没有预设类别的情况下进行编码的,并且由两名研究人员独立进行分析。

结果

姑息治疗专业人员传达的信息是,他们是一个积极主动、有组织地工作的团队的一部分。他们重视并为自己的工作感到自豪。尽管工作强度很大,但这些专业人员总是愿意为他人提供帮助,向他们展示清晰的专业身份。他们传达了缓解痛苦、尊重行为和协作能力方面的专业知识。

结论

专业人员在日常工作中通过信息传达了姑息治疗的精髓。姑息治疗专业人员必须将自己视为潜在的有影响力的人,并明确传达干预的原因。否则,其他人将继续传播姑息治疗的神话、误解和负面声誉。

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本文引用的文献

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BMC Palliat Care. 2020 Jun 22;19(1):88. doi: 10.1186/s12904-020-00582-5.
2
The required competencies of physicians within palliative care from the perspectives of multi-professional expert groups: a qualitative study.多专业专家组视角下的姑息治疗中医师的必备能力:一项定性研究。
BMC Palliat Care. 2020 May 9;19(1):65. doi: 10.1186/s12904-020-00566-5.
3
The value of the ethnographic approach to research issues in palliative care.人种志方法在姑息治疗研究问题中的价值。
Curr Opin Support Palliat Care. 2019 Dec;13(4):337-343. doi: 10.1097/SPC.0000000000000460.
4
Social representation of palliative care in the Spanish printed media: A qualitative analysis.西班牙语印刷媒体中缓和医疗的社会代表性:一项定性分析。
PLoS One. 2019 Jan 25;14(1):e0211106. doi: 10.1371/journal.pone.0211106. eCollection 2019.
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What is palliative care? Perceptions of healthcare professionals.什么是姑息治疗?医护人员的看法。
Scand J Caring Sci. 2019 Mar;33(1):77-84. doi: 10.1111/scs.12603. Epub 2018 Aug 13.
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Healthcare teams as complex adaptive systems: understanding team behaviour through team members' perception of interpersonal interaction.作为复杂适应系统的医疗团队:通过团队成员对人际互动的感知来理解团队行为。
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Serious Illness Conversations: Paving the Road with Metaphors.严重疾病对话:用隐喻铺平道路。
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