专业人员对有心理社会问题的客户的健康观念：基于半结构化访谈实证探索的分析
Professionals' health conceptions of clients with psychosocial problems: An analysis based on an empirical exploration of semi-structured interviews.
作者信息
van Heteren Fia, Raaphorst Nadine, Groeneveld Sandra, Bussemaker Jet
机构信息
Department of Public Health and Primary Care/Health Campus The Hague, Leiden University Medical Centre, P.O. Box 13228, 2501 EE The Hague, The Netherlands.
Institute of Public Administration, Leiden University, Leiden, The Netherlands.
出版信息
Int J Nurs Stud Adv. 2023 Mar 5;5:100120. doi: 10.1016/j.ijnsa.2023.100120. eCollection 2023 Dec.
BACKGROUND
The care of clients with complex psychosocial problems involves diverse frontline professionals such as general practitioners, psychiatric nurses, police officers, social support consultants and debt counselors. As these professionals have different professional backgrounds and work in different organizations, their health conceptions, or beliefs about what constitutes health and how this should be pursued, may also differ. Having an understanding of various frontline professionals' health conceptions is relevant, as these may affect interprofessional collaboration in their work with clients with psychosocial problems.
OBJECTIVE
To understand various frontline professionals' health conceptions.
DESIGN
Inductive qualitative approach.
SETTING
The Hague, the Netherlands.
PARTICIPANTS
Various frontline professionals from social welfare, general healthcare and mental healthcare, working with clients with complex psychosocial problems.
METHODS
Between September 2020 and April 2021, 23 in-depth semi- structured interviews were conducted with frontline professionals in social welfare, general healthcare and mental healthcare. Based on these interviews, this paper analyzes frontline professionals' health conceptions. After transcription, all interviews were imported into ATLAS.ti for analysis. An iterative process of thematic analysis was used to identify health conception dimensions.
RESULTS
The paper found that frontline professionals' health conceptions differ in three main aspects: 1) health definitions, 2) alignment with clients and 3) contextualization of clients' health.
CONCLUSIONS
The main implication of this research is that this inductive analysis of health conceptions provides a first building block in theorizing frontline professionals' health promotion practices.
TWEETABLE ABSTRACT
Knowing about professional's health conceptions gives insight into how health is understood and how good health can best be achieved, which is important in caring for vulnerable clients.
背景
为有复杂心理社会问题的客户提供护理涉及不同的一线专业人员，如全科医生、精神科护士、警察、社会支持顾问和债务顾问。由于这些专业人员具有不同的专业背景且在不同组织工作，他们对健康的概念，即关于什么构成健康以及应如何追求健康的信念，也可能不同。了解各一线专业人员的健康概念很有意义，因为这可能会影响他们在为有心理社会问题的客户提供服务时的跨专业协作。
目的
了解各一线专业人员的健康概念。
设计
归纳定性研究方法。
地点
荷兰海牙。
参与者
来自社会福利、普通医疗保健和心理医疗保健领域，为有复杂心理社会问题的客户提供服务的各一线专业人员。
方法
在2020年9月至2021年4月期间，对社会福利、普通医疗保健和心理医疗保健领域的一线专业人员进行了23次深入的半结构化访谈。基于这些访谈，本文分析了一线专业人员的健康概念。转录后，所有访谈内容都导入ATLAS.ti进行分析。采用迭代主题分析过程来确定健康概念维度。
结果
本文发现一线专业人员的健康概念在三个主要方面存在差异：1）健康定义，2）与客户的一致性，3）客户健康的情境化。
结论
本研究的主要意义在于，这种对健康概念的归纳分析为一线专业人员健康促进实践的理论化提供了第一个基石。
可发推文摘要
了解专业人员的健康概念有助于洞察人们对健康的理解以及如何最好地实现健康，这在照顾弱势客户方面很重要。
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