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将“美好生活”工具包融入服务提供——一个复杂的过程。

Embedding the living well toolkit into service delivery - A complex process.

作者信息

Mudge Suzie, Kayes Nicola, Payne Deborah, Smith Greta

机构信息

Centre for Person Centred Research, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand.

出版信息

PEC Innov. 2022 Mar 26;1:100033. doi: 10.1016/j.pecinn.2022.100033. eCollection 2022 Dec.

DOI:10.1016/j.pecinn.2022.100033
PMID:37213722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10194408/
Abstract

OBJECTIVE

To embed the Living Well Toolkit package and to understand how it was implemented at each site and to explore the experiences of users.

METHODS

The toolkit package was introduced in four rehabilitation settings using a tailored implementation process negotiated with each site. The varied data sources were analysed drawing on directed content analysis.

RESULTS

Clients with neurological conditions and clinicians initially weighed the merits of the toolkit package. A positive weighing up was prerequisite for deciding to use. Clinicians described considerable to make the toolkit package in clinical practice. Users of the toolkit package described ways in which it shaped their thinking.

CONCLUSION

Implementation of the toolkit package was a complex process for clinicians and services, involving ongoing work to optimise its impact relative to the client and context. Clinicians and clients who used the toolkit package described positive changes, congruent with person-centred communication.

INNOVATION

The Living Well Toolkit is freely available for all to use. Clinicians who used reflective and responsive thinking to make the toolkit package work found it provided them with a broader perspective of the client.

摘要

目的

引入“美好生活工具包”并了解其在各站点的实施方式,探索用户体验。

方法

通过与每个站点协商的定制实施流程,在四个康复环境中引入该工具包。利用定向内容分析法对各种数据源进行分析。

结果

患有神经系统疾病的患者和临床医生最初权衡了该工具包的优点。积极权衡是决定使用的前提条件。临床医生描述了在临床实践中使用该工具包的诸多挑战。该工具包的用户描述了它塑造他们思维的方式。

结论

对临床医生和服务机构而言,实施该工具包是一个复杂的过程,需要持续努力以优化其对患者和具体情况的影响。使用该工具包的临床医生和患者描述了与以患者为中心的沟通相一致的积极变化。

创新点

“美好生活工具包”可供所有人免费使用。运用反思性和响应性思维使该工具包发挥作用的临床医生发现,它为他们提供了更广阔的患者视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/548ea6dd392e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/987bbe930e6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/15cd33253759/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/5d860da50620/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/6c4ab79518ef/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/548ea6dd392e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/987bbe930e6f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/15cd33253759/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/5d860da50620/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/6c4ab79518ef/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce2/10194408/548ea6dd392e/gr5.jpg

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Supporting self-management after traumatic brain injury: Codesign and evaluation of a new intervention across a trauma pathway.创伤性脑损伤后的自我管理支持:跨创伤路径的一项新干预措施的协同设计与评估
Health Expect. 2019 Aug;22(4):632-642. doi: 10.1111/hex.12898. Epub 2019 Apr 29.
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The micro-politics of caring: tinkering with person-centered rehabilitation.
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Disabil Rehabil. 2020 Jun;42(11):1529-1538. doi: 10.1080/09638288.2019.1587793. Epub 2019 Apr 12.
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Development of a toolkit to enhance care processes for people with a long-term neurological condition: a qualitative descriptive study.开发工具包以增强长期神经状况患者的护理流程:定性描述性研究。
BMJ Open. 2018 Jun 30;8(6):e022038. doi: 10.1136/bmjopen-2018-022038.
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"The more you know, the more you realise it is really challenging to do": Tensions and uncertainties in person-centred support for people with long-term conditions.“你知道的越多,就越会意识到,要做到以人为本的支持长期病患者真的很具挑战性”:以人为本的长期病患者支持中的紧张和不确定性。
Patient Educ Couns. 2018 Aug;101(8):1460-1467. doi: 10.1016/j.pec.2018.03.028. Epub 2018 Mar 30.
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The process of adjustment over time following stroke: A longitudinal qualitative study.中风后随时间推移的调整过程:一项纵向定性研究。
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