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如何将患者伙伴纳入护理团队?

[How to integrate a patient partner into a care team?].

作者信息

Tourniaire Nolwenn, Leseur Julie, Roy Agnès, de la Motte Rouge Aurélie, Pougheon Bertrand Dominique

机构信息

CAPPS Bretagne – Rennes – France

Chaire de recherches sur l’Engagement des patients – Université Sorbonne Paris Nord – Bobigny – France

出版信息

Sante Publique. 2023 Oct 17;35(3):285-295. doi: 10.3917/spub.233.0285.

Abstract

INTRODUCTION

It is not rare anymore to find patients with knowledge and experience of a care pathway integrating a team of health professionals in order to improve the quality and relevance of their peers’ care pathways.

PURPOSE OF RESEARCH

The aim of this article is to propose practical methodological answers and structuring questions to institutions and any health actor interested in integrating a Patient Partner (PP) into a team of health professionals.

RESULTS

The results of an action-research (AR) carried out within a Cancer Treatment Centre (CTC) provide both a methodological framework and answers to the questions raised by this experimentation: How did the team and the PP organize themselves to implement the mission of peer support? What evaluations of the project should be put in place? How does everyone find their place in the project? And finally, what are the operational procedures, limits, and levers for integrating the PP into the team?

CONCLUSIONS

In the discussion section, we propose a model of experimentation based on AR, highlighting the main drivers and the interventions that feed them. Finally, we share a series of structuring questions arising from the co-construction work carried out by the people involved, which allowed us to build our action plan for the integration of a PP in the care team at the Rennes CTC, and which seems to us sufficiently generalizable to be tested and used by other teams and in other contexts.

摘要

引言

如今,患者了解并经历过由一组医疗专业人员整合而成的护理路径,以提高其同伴护理路径的质量和相关性,这种情况已不再罕见。

研究目的

本文旨在为有兴趣将患者伙伴(PP)纳入医疗专业人员团队的机构及任何医疗从业者提供切实的方法性答案和结构化问题。

结果

在一家癌症治疗中心(CTC)开展的行动研究(AR)结果,既提供了一个方法框架,也回答了此次实验所引发的问题:团队和患者伙伴如何组织起来以履行同伴支持的使命?应该对该项目进行哪些评估?每个人在项目中如何找到自己的位置?最后,将患者伙伴纳入团队的操作程序、限制因素和推动因素有哪些?

结论

在讨论部分,我们提出了一个基于行动研究的实验模型,突出了主要驱动因素以及为其提供支持的干预措施。最后,我们分享了一系列由相关人员共同构建工作产生的结构化问题,这些问题使我们能够制定在雷恩癌症治疗中心护理团队中纳入患者伙伴的行动计划,并且在我们看来,这些问题具有足够的普遍性,可供其他团队在其他情境下进行测试和使用。

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