School of Nursing, Midwifery & Social Work, Faculty of Health & Behavioural Sciences, University of Queensland, Brisbane, QLD, Australia.
Dietetics & Food Services, Surgical, Treatment & Rehabilitation Service (STARS), Metro North Health, Herston, QLD, Australia.
Disabil Rehabil. 2024 Aug;46(16):3620-3628. doi: 10.1080/09638288.2023.2254230. Epub 2023 Sep 30.
Person-centred care (PCC) is an essential component of high-quality healthcare across professions and care settings. While research is emerging in subacute nutrition services more broadly, there is limited literature exploring the person-centredness of nutrition care in rehabilitation. This study aimed to explore person-centred nutrition care (PCNC) in rehabilitation units, as described and actioned by patients, support persons and staff. Key factors influencing PCNC were also explored.
An ethnographic study was undertaken across three rehabilitation units. Fifty-eight hours of field work were completed with 165 unique participants to explore PCNC. Field work consisted of observations and interviews with patients, support persons and staff. Data were analysed through the approach of reflexive thematic analysis, informed by PCC theory.
Themes generated were: (1) tensions between patient and staff goals; (2) disconnected moments of PCNC; (3) the necessity of interprofessional communication for PCNC; and (4) the opportunity for PCNC to enable the achievement of rehabilitation goals.
PCNC was deemed important to different stakeholders but was at times hindered by a focus on profession-specific objectives. Opportunities exist to enhance interprofessional practice to support PCNC in rehabilitation. Future research should consider the system-level factors influencing PCNC in rehabilitation settings.
以人为中心的护理（PCC）是各专业和护理环境中高质量医疗保健的重要组成部分。虽然亚急性营养服务的研究正在兴起，但关于康复中营养护理以人为中心的文献有限。本研究旨在探讨康复病房中患者、支持人员和工作人员所描述和实施的以人为中心的营养护理（PCNC）。还探讨了影响 PCNC 的关键因素。
在三个康复病房进行了一项民族志研究。共完成了 58 小时的现场工作，涉及 165 名独特的参与者，以探讨 PCNC。现场工作包括对患者、支持人员和工作人员进行观察和访谈。通过 PCC 理论指导的反思性主题分析方法对数据进行分析。
生成的主题包括：（1）患者和工作人员目标之间的紧张关系；（2）PCNC 的脱节时刻；（3）PCNC 所需的跨专业沟通；以及（4）PCNC 为实现康复目标提供的机会。
不同利益相关者认为 PCNC 很重要，但有时会因专注于特定专业的目标而受到阻碍。有机会加强跨专业实践，以支持康复中的 PCNC。未来的研究应考虑影响康复环境中 PCNC 的系统因素。
