“纯属偶然”：对姑息治疗服务提供者动机的定性分析
'Completely by accident': a qualitative analysis of service providers motivations to practice palliative care.
作者信息
Okyere Joshua
机构信息
Department of Population and Health, University of Cape Coast, University Post Office, Cape Coast, Ghana.
Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
出版信息
Palliat Care Soc Pract. 2023 Sep 20;17:26323524231201869. doi: 10.1177/26323524231201869. eCollection 2023.
BACKGROUND
The lack of clarity about the factors that motivate service providers to take a career in palliative care presents a significant knowledge gap that must be filled. This is because gaining knowledge about the motivations for taking a career in palliative care would provide valuable insights that can potentially increase buy-in and interest among prospective healthcare professionals. By elucidating the motivations of service providers, the study aims to contribute to the broader field of palliative care research and inform the development of tailored interventions and training programmes to increase the pool of specialized palliative care providers.
OBJECTIVE
To explore palliative care service providers' motivations to practice palliative care.
DESIGN
Exploratory descriptive design.
METHODS
In all, seven in-depth interviews were conducted using a semi-structured interview guide. Data were managed using NVivo-12. Inductive thematic analysis was performed by following Hasse's adaptation of Colaizzi's approach to qualitative thematic analysis.
RESULTS
Two main factors motivated service providers to take a career in palliative care. The first was the influence of professional training while the second motivation was from their personal experiences regarding providing care to a family member with palliative care needs.
CONCLUSION
The study concludes that personal experiences with caring for a loved one with palliative care needs play a pivotal role in shaping the decision of service providers to pursue a career in palliative care. Also, investment in palliative care education and training is crucial to ensure a skilled workforce capable of meeting the growing needs of patients and families facing serious illnesses.
背景
对于促使服务提供者投身姑息治疗事业的因素缺乏清晰认识，这是一个必须填补的重大知识空白。这是因为了解投身姑息治疗事业的动机能提供宝贵见解，可能会提高未来医疗专业人员的支持度和兴趣。通过阐明服务提供者的动机，该研究旨在为姑息治疗研究的更广泛领域做出贡献，并为制定针对性的干预措施和培训计划提供参考，以增加专业姑息治疗提供者的数量。
目的
探讨姑息治疗服务提供者从事姑息治疗的动机。
设计
探索性描述设计。
方法
总共进行了七次深度访谈，使用半结构化访谈指南。数据使用NVivo-12进行管理。采用哈塞对科莱齐定性主题分析方法的改编进行归纳主题分析。
结果
有两个主要因素促使服务提供者投身姑息治疗事业。第一个是专业培训的影响，第二个动机来自他们在为有姑息治疗需求的家庭成员提供护理方面的个人经历。
结论
该研究得出结论，照顾有姑息治疗需求的亲人的个人经历在塑造服务提供者投身姑息治疗事业的决定中起关键作用。此外，对姑息治疗教育和培训的投入对于确保有能力满足面临严重疾病的患者和家庭不断增长的需求的熟练劳动力至关重要。
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