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授权患者和非正规护理者为合作伙伴?——一项关于医疗保健专业人员认知的调查研究。

Empowered patients and informal care-givers as partners?-a survey study of healthcare professionals' perceptions.

机构信息

Karolinska Institutet, LIME, Stockholm, S-171 77, Sweden.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

出版信息

BMC Health Serv Res. 2023 Apr 26;23(1):404. doi: 10.1186/s12913-023-09386-8.

Abstract

BACKGROUND

More knowledge is needed regarding the perceptions of healthcare professionals when encountering empowered patients and informal caregivers in clinical settings. This study aimed to investigate healthcare professionals' attitudes towards and experiences of working with empowered patients and informal caregivers, and perception of workplace support in these situations.

METHODS

A multi-centre web survey was conducted using a non-probability sampling of both primary and specialized healthcare professionals across Sweden. A total of 279 healthcare professionals completed the survey. Data was analysed using descriptive statistics and Thematic analysis.

RESULTS

Most respondents perceived empowered patients and informal caregivers as positive and had to some extent experience of learning new knowledge and skills from them. However, few respondents stated that these experiences were regularly followed-up at their workplace. Potentially negative consequences such as increased inequality and additional workload were, however, mentioned. Patients' engagement in the development of clinical workplaces was seen as positive by the respondents, but few had own experience of such engagement and considered it difficult to be achieved .

CONCLUSION

Overall positive attitudes of healthcare professionals are a fundamental prerequisite to the transition of the healthcare system recognizing empowered patients and informal caregivers as partners.

摘要

背景

在临床环境中遇到有能力的患者和非正式护理人员时,更多地了解医疗保健专业人员的看法是必要的。本研究旨在调查医疗保健专业人员对有能力的患者和非正式护理人员的态度和工作经验,以及对这些情况下工作场所支持的看法。

方法

使用瑞典各地初级和专业医疗保健专业人员的非概率抽样,进行了一项多中心网络调查。共有 279 名医疗保健专业人员完成了调查。使用描述性统计和主题分析对数据进行了分析。

结果

大多数受访者认为有能力的患者和非正式护理人员是积极的,并且在某种程度上从他们那里获得了新知识和技能。然而,很少有受访者表示这些经验在他们的工作场所得到了定期跟进。然而,提到了潜在的负面后果,例如不平等加剧和额外的工作量。受访者认为患者参与临床工作场所的发展是积极的,但很少有人有自己的参与经验,并认为很难实现。

结论

医疗保健专业人员的总体积极态度是医疗保健系统过渡的基本前提,承认有能力的患者和非正式护理人员是合作伙伴。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70dc/10131407/a308f38e6aee/12913_2023_9386_Fig1_HTML.jpg

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