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医疗机构中医疗保健专业人员的以患者为中心的实践观点:一项描述性研究。

Perspectives on the Person-Centered Practice of Healthcare Professionals at an Inpatient Hospital Department: A Descriptive Study.

机构信息

PhD Program, University of Lisbon (UL) and Nursing School of Lisbon (ESEL), 1600-214 Lisboa, Portugal.

Egas Moniz Interdisciplinary Research Centre (CiiEM), Egas Moniz Universitary Institute, Quinta da Granja, 2829-511 Monte de Caparica, Portugal.

出版信息

Int J Environ Res Public Health. 2023 Apr 25;20(9):5635. doi: 10.3390/ijerph20095635.

Abstract

The characteristics of health professionals and their understanding of person-centeredness may have important implications for the development of person-centered practice in specific care settings. In this study, we characterized the perceptions of the person-centered practice of a multidisciplinary team of health professionals working in the internal medicine inpatient unit of a Portuguese hospital. Data were collected using a brief sociodemographic and professional questionnaire and the person-centered practice inventory-staff (PCPI-S), and the effect of different sociodemographic and professional variables on each PCPI-S domain was determined using an analysis of variance (ANOVA). The results showed that a person-centered practice was positively perceived in the major constructs of (M = 4.12; SD = 0.36), (M = 3.50; SD = 0.48), and (M = 4.08; SD = 0.62) domains. The highest scored construct was (M = 4.35; SD = 0.47), and the lowest was (M = 3.08; SD = 0.80). Gender was found to influence the perceptions of (F(2,75) = 3.67, = 0.03, partial η = 0.089) and (F(2,75) = 3.63, = 0.03, partial η = 0.088), as was profession on (F(2,75) = 5.38, < 0.01, partial η = 0.125) and (F(2,75) = 5.27, < 0.01, partial η = 0.123), and the educational level on being (F(1,75) = 4.99, = 0.03, partial η = 0.062) and having (F(2,75) = 4.49, = 0.04, partial η = 0.056). In addition, the PCPI-S proved to be a reliable instrument for characterizing healthcare professionals' perceptions of the person-centeredness of care in this context. Identifying personal and professional variables that influence these perceptions could provide a starting point for defining strategies to move practice toward person-centeredness and for monitoring changes in healthcare practice.

摘要

健康专业人员的特点及其对以人为中心实践的理解可能对特定护理环境中以人为中心实践的发展具有重要意义。在这项研究中,我们描述了葡萄牙一家医院内科住院病房多学科医疗团队对以人为中心实践的看法。使用简短的社会人口统计学和专业问卷以及以人为中心实践量表-员工(PCPI-S)收集数据,并使用方差分析(ANOVA)确定不同社会人口统计学和专业变量对每个 PCPI-S 领域的影响。结果表明,主要构建的以人为中心实践得到了积极的感知(M = 4.12;SD = 0.36),(M = 3.50;SD = 0.48)和(M = 4.08;SD = 0.62)领域。得分最高的结构是(M = 4.35;SD = 0.47),最低的是(M = 3.08;SD = 0.80)。研究发现,性别影响了对(F(2,75)= 3.67,p = 0.03,部分η= 0.089)和(F(2,75)= 3.63,p = 0.03,部分η= 0.088)的看法,而职业对(F(2,75)= 5.38,p < 0.01,部分η= 0.125)和(F(2,75)= 5.27,p < 0.01,部分η= 0.123)的看法以及教育水平对(F(1,75)= 4.99,p = 0.03,部分η= 0.062)和(F(2,75)= 4.49,p = 0.04,部分η= 0.056)的看法有影响。此外,PCPI-S 被证明是一种可靠的工具,可用于描述医疗保健专业人员在这种情况下对以人为中心护理的看法。确定影响这些看法的个人和专业变量可以为确定将实践推向以人为中心的策略以及监测医疗保健实践的变化提供起点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f3/10178857/aede2db63db2/ijerph-20-05635-g0A1.jpg

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