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放射治疗师使用健康素养策略与患者互动的体验:采用阐释现象学分析的定性综述

Lived experiences of radiation therapists using health literacy strategies with patients-A qualitative review using interpretative phenomenological analysis.

机构信息

School of Health Sciences, University of Newcastle, Callaghan, New South Wales, Australia.

Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia.

出版信息

J Med Radiat Sci. 2022 Sep;69(3):318-326. doi: 10.1002/jmrs.574. Epub 2022 Mar 14.

Abstract

INTRODUCTION

Adaptive communication is an essential requirement to deliver quality patient-centred care. Determining patients' informational needs and acting on the needs are skills radiation therapists (RTs) employ daily with patients. Learning health literacy (HL) strategies to assist with the informational delivery provides RTs with options to improve patients' understanding of vital radiotherapy treatment information or tasks. This research investigates the lived experiences of RTs from the Illawarra and Shoalhaven Cancer Care Centres in Australia using HL strategies during patient interactions after undertaking HL training workshops.

METHODS

An interpretative phenomenological analysis (IPA) approach was used. Audio-recorded semi-structured interviews were conducted with six RTs. Two reviewers analysed each interview script separately before discussing and constructing substantive and sub-themes.

RESULTS

Four substantive themes were constructed: RT personal attitudes and responses to HL, HL strategies used by RTs, patient associated HL needs and barriers when addressing patient HL needs. RTs were either person- or process-focussed during patient interactions. It was identified that information is provided to patients according to how RTs themselves like to learn new information.

CONCLUSION

This research has allowed an opportunity to inquire into the lived experiences of RTs implementing HL strategies when providing information to patients. While RTs may be person or process-focussed, the patient's needs are always prioritised when providing information, which ultimately results in patient understanding and increased engagement.

摘要

简介

适应交流是提供以患者为中心的优质护理的基本要求。确定患者的信息需求并根据需求采取行动是放射治疗师(RTs)每天与患者打交道时所具备的技能。学习健康素养(HL)策略来协助信息传递为 RTs 提供了改善患者对重要放射治疗信息或任务的理解的选择。这项研究使用 HL 培训研讨会后在患者互动中使用 HL 策略,调查了澳大利亚伊拉瓦拉和肖尔黑文癌症护理中心的 RTs 的生活体验。

方法

采用解释现象学分析(IPA)方法。对六名 RTs 进行了录音半结构化访谈。两名审查员在讨论和构建实质性和子主题之前,分别分析了每个访谈脚本。

结果

构建了四个实质性主题:RT 对 HL 的个人态度和反应、RTs 使用的 HL 策略、患者相关的 HL 需求以及在满足患者 HL 需求时的障碍。RTs 在与患者互动时要么关注个人,要么关注流程。据确定,根据 RTs 自己喜欢学习新信息的方式向患者提供信息。

结论

这项研究使我们有机会探究 RTs 在向患者提供信息时实施 HL 策略的生活体验。虽然 RTs 可能关注个人或流程,但在提供信息时始终优先考虑患者的需求,这最终导致患者的理解和参与度提高。

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Supporting Radiation Therapy Patients with Limited Health Literacy.为健康素养有限的放射治疗患者提供支持。
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"Like a dialogue": Teach-back in the emergency department.“如同对话”:急诊科的反馈教学法
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