Fernandes Júlio Belo, Vareta Diana, Fernandes Sónia, Almeida Ana Silva, Peças Dina, Ferreira Noélia, Roldão Liliana
Escola Superior de Saúde Egas Moniz, Caparica, 2829-511 Almada, Portugal.
Grupo de Patologia Médica, Nutrição e Exercício Clínico (PaMNEC)-Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Almada, Portugal.
Int J Environ Res Public Health. 2022 Mar 8;19(6):3199. doi: 10.3390/ijerph19063199.
There is an increasing emphasis on developing person-centered care in rehabilitation settings. However, this care practice has not been fully implemented due to several factors. This study explores rehabilitation workforce perspectives on the barriers and facilitators to implementing person-centered care (PCC). This was a quantitative descriptive study, which was developed based on interviews with 12 healthcare professionals from a private institution in the region of Lisbon and Tagus Valley in Portugal. The recruitment was made in October 2020. Braun, Clarke, Hayfield, and Terry's content analysis was applied to the transcripts, and these were transcribed verbatim. The consolidated criteria for reporting qualitative research (COREQ) checklist were applied to this study. Participants described barriers such as an unsupportive organization and leadership, staff constraints, heavy workload, and resistance to change. Unique to this study, a patient's clinical characteristics were identified as barriers to person-centered care. As facilitators, they described leadership, staff satisfaction, a positive physical environment, training and education, and shared decision-making. It is essential to understand the perceptions of the rehabilitation workforce, as they play an integral role in providing PCC. This study serves as a guide to facilitate person-centered care, as it provides an understanding of key barriers and facilitators for its implementation in rehabilitation settings.
在康复环境中,越来越强调发展以患者为中心的护理。然而,由于多种因素,这种护理实践尚未得到充分实施。本研究探讨了康复工作人员对实施以患者为中心的护理(PCC)的障碍和促进因素的看法。这是一项定量描述性研究,基于对葡萄牙里斯本和塔霍河谷地区一家私立机构的12名医疗保健专业人员的访谈开展。招募工作于2020年10月进行。对访谈记录应用了布劳恩、克拉克、海菲尔德和特里的内容分析法,并逐字转录。本研究应用了报告定性研究的统一标准(COREQ)清单。参与者描述了诸如组织和领导不支持、人员限制、工作量大以及对变革的抵触等障碍。本研究特有的是,患者的临床特征被确定为以患者为中心的护理的障碍。作为促进因素,他们提到了领导、员工满意度、积极的物理环境、培训和教育以及共同决策。了解康复工作人员的看法至关重要,因为他们在提供以患者为中心的护理中发挥着不可或缺的作用。本研究为促进以患者为中心的护理提供了指导,因为它提供了对在康复环境中实施该护理的关键障碍和促进因素的理解。