Suppr超能文献

用照片为患者带来尊严,帮助临床医生在工作中找到意义和快乐。

Using Photographs to Bring Dignity to Patients and Help Clinicians Find Meaning and Joy in Work.

机构信息

Kaiser Permanente Washington, Seattle, Washington, USA.

UC San Diego Health, San Diego, California, USA.

出版信息

J Palliat Med. 2023 Feb;26(2):165-174. doi: 10.1089/jpm.2022.0161. Epub 2022 Aug 23.

Abstract

The importance of dignity in health care is well described, yet limited interventions exist to improve dignity, particularly patient-driven interventions. To test the hypothesis that patient-selected photographs at the bedside would impact patients' sense of dignity and clinicians' sense of meaningful work, stimulate conversation between patients and clinicians, and serve as a visual and patient-driven complement to the Patient Dignity Question (PDQ). Patients admitted to three units at an academic medical center displayed photographs above their head of bed and were interviewed for this study. We used thematic content analysis to compare themes extracted from patient interviews, the PDQ, and clinician surveys. Eight themes emerged from patient interviews ( = 19): conveying goals, joy, capturing the patient's spirit, faith and spirituality, sense of belonging, physical appearance and health, stimulating conversation and meaningful connections, and humanizing the patient. The same themes emerged from the PDQ, with the exception of physical appearance and health. Notably, analysis of the clinician surveys ( = 40) yielded six similar themes: conveying goals, joy, stimulating conversation and meaningful connections, humanizing the patient, meaningful work, and compassion and empathy. Patient-selected photographs at the bedside impact both patients and clinicians by stimulating conversation and meaningful connections, humanizing patients, and fostering meaning and joy in work. Photographs and the PDQ provide a similar window into personhood, thereby supporting the use of a photograph as a visual and patient-driven complement to the PDQ.

摘要

尊严在医疗保健中的重要性已被充分描述,但改善尊严的干预措施有限,特别是患者驱动的干预措施。本研究旨在测试以下假设:床边患者选择的照片会影响患者的尊严感和临床医生的有意义工作感,激发患者和临床医生之间的对话,并作为患者尊严问题(PDQ)的视觉和患者驱动的补充。在一家学术医疗中心的三个病房住院的患者在床头上方展示照片,并接受了这项研究的采访。我们使用主题内容分析比较了从患者访谈、PDQ 和临床医生调查中提取的主题。从患者访谈中出现了 8 个主题(n=19):传达目标、喜悦、捕捉患者精神、信仰和精神性、归属感、外表和健康、激发对话和有意义的联系、以及人性化患者。PDQ 中也出现了相同的主题,但不包括外表和健康。值得注意的是,对 40 名临床医生调查的分析得出了六个类似的主题:传达目标、喜悦、激发对话和有意义的联系、人性化患者、有意义的工作以及同情和同理心。床边患者选择的照片通过激发对话和有意义的联系、人性化患者以及培养工作中的意义和乐趣,对患者和临床医生都产生了影响。照片和 PDQ 提供了一个类似的了解人性的窗口,从而支持将照片作为 PDQ 的视觉和患者驱动的补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c069/9894591/75b42c8c2065/jpm.2022.0161_figure1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验