巴西某大学儿科医院卫生专业人员对实施补充与整合医学实践的看法：一项定性访谈研究。
Perceptions of Health Professionals on the Implementation of Integrative and Complementary Practices at a University Pediatric Hospital in Brazil: A Qualitative Interview Study.
机构信息
Department of Pediatric Oncology/Hematology, Otto-Heubner Centre for Pediatric and Adolescent Medicine (OHC), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.
Unit of Integrative Pediatrics, Department of Pediatrics, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
出版信息
Integr Cancer Ther. 2023 Jan-Dec;22:15347354231192004. doi: 10.1177/15347354231192004.
BACKGROUND
Despite an increase in use of pediatric complementary and integrative health (PCIH), many healthcare professionals still have an inadequate understanding of such practices and consider their use inappropriate, which might thwart implementation processes. In a qualitative interview study we examined the feedback of conventional healthcare professionals about the integrative practices provided to pediatric patients by an integrative team in a pediatric oncological hospital.
METHODS
Fifteen semi-structured interviews were carried out with various conventional healthcare professionals in an university pediatric hospital in São Paulo, Brazil. The interviews were audio-recorded, transcribed and pseudonymized. DSCsoft and MAXQDA software assisted in a profound qualitative analysis using the collective subject discourse and thematic analysis method in order to display participants' perspectives on PCIH and the project in their hospital.
RESULTS
Interviewees acknowledged their lack of knowledge about PCIH practices and reflected on the limits of their care as well as on new possibilities PCIH could offer. PCIH was perceived by interviewees as an effective supportive tool of care to promote patients' wellbeing, assist overall compliance, strengthen cooperation between professionals, children and their relatives and hence facilitated general patient care. Since PCIH was implemented in their clinic, perceptions led interviewees to wish for increased PCIH offering and a more profound integration of its therapists into the standard of care.
DISCUSSION
The coexistence of integrative and conventional practices in the conventional healthcare setting is important to give visibility to the possibilities offered by the integrative pediatrics field. Regular and constant encounters with integrative practices, as well as information access seem crucial to reach a wider openness for PCIH and subsequently a broader application and dissemination of it.
背景
尽管儿科补充和综合健康（PCIH）的使用有所增加，但许多医疗保健专业人员仍然对这些实践缺乏足够的了解，并认为其使用不合适，这可能会阻碍实施过程。在一项定性访谈研究中，我们研究了常规医疗保健专业人员对儿科肿瘤医院综合团队为儿科患者提供的综合实践的反馈。
方法
在巴西圣保罗的一所大学儿科医院，对各种常规医疗保健专业人员进行了 15 次半结构化访谈。访谈进行了录音、转录和化名。DSCsoft 和 MAXQDA 软件通过集体主题话语和主题分析方法，协助进行了深入的定性分析，以展示参与者对 PCIH 和医院项目的看法。
结果
受访者承认他们对 PCIH 实践缺乏了解，并反思了他们护理的局限性以及 PCIH 可能提供的新可能性。受访者认为 PCIH 是一种有效的支持性护理工具，可以促进患者的健康，提高整体依从性，加强专业人员、儿童及其家属之间的合作，从而促进整体患者护理。由于 PCIH 已在他们的诊所实施，受访者的看法促使他们希望增加 PCIH 的提供，并希望其治疗师更深入地融入护理标准。
讨论
常规医疗保健环境中综合实践与常规实践的共存对于突显综合儿科学领域提供的可能性很重要。定期和经常接触综合实践以及获取信息对于实现对 PCIH 的更广泛开放以及随后更广泛地应用和传播 PCIH 至关重要。
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