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适应性指导网络与关怀护理:对慢性疼痛、物质使用障碍和心理健康指导的定性探索

Adaptive Mentoring Networks and Compassionate Care: A Qualitative Exploration of Mentorship for Chronic Pain, Substance Use Disorders and Mental Health.

作者信息

Radhakrishnan Arun K, Hunter Jonathan J, Radhakrishnan Dhenuka, Silveira Jose M, Soklaridis Sophie

机构信息

Department of Family Medicine, University of Ottawa, Ottawa, Ont, Canada.

Department of Psychiatry, University of Toronto, Toronto, Ont, Canada.

出版信息

J CME. 2024 May 31;13(1):2361405. doi: 10.1080/28338073.2024.2361405. eCollection 2024.

DOI:10.1080/28338073.2024.2361405
PMID:38831940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11146240/
Abstract

This study undertook an exploration of how Adaptive Mentoring Networks focusing on chronic pain, substance use disorders and mental health were supporting primary care providers to engage in compassionate care. The study utilised the Cole-King & Gilbert Compassionate Care Framework to guide qualitative semi-structured interviews of participants in two Adaptive Mentoring Networks in Ontario, Canada. Fourteen physician participants were interviewed including five mentors (psychiatrists) and nine mentees (family physicians) in the Networks. The Cole-King & Gilbert Framework helped provide specific insights on how these mentoring networks were affecting the attributes of compassion such as , and . The findings of this study focused on the role of compassionate provider communities and the development of skills and attitudes related to compassion that were both being supported in these networks. Adaptive Mentoring Networks can support primary care providers to offer compassionate care to patients with chronic pain, substance use disorders, and mental health challenges. This study also highlights how these networks had an impact on provider resiliency, and compassion fatigue. There is promising evidence these networks can support the "quadruple aim" for healthcare systems (improve patient and provider experience, health of populations and value for money) and play a role in addressing the healthcare provider burnout and associated health workforce crisis.

摘要

本研究探讨了专注于慢性疼痛、物质使用障碍和心理健康的适应性指导网络如何支持初级保健提供者提供富有同情心的护理。该研究利用科尔 - 金与吉尔伯特富有同情心的护理框架,指导对加拿大安大略省两个适应性指导网络中的参与者进行定性半结构化访谈。共采访了14名医生参与者,其中包括网络中的5名导师(精神科医生)和9名学员(家庭医生)。科尔 - 金与吉尔伯特框架有助于就这些指导网络如何影响同情心的属性(如……以及……)提供具体见解。本研究的结果聚焦于富有同情心的提供者社区的作用以及与同情心相关的技能和态度的发展,这些在这些网络中均得到了支持。适应性指导网络可以支持初级保健提供者为患有慢性疼痛、物质使用障碍和心理健康问题的患者提供富有同情心的护理。本研究还强调了这些网络如何对提供者的恢复力和同情疲劳产生影响。有证据表明,这些网络有望支持医疗保健系统的“四重目标”(改善患者和提供者体验、人群健康和资金价值),并在解决医疗保健提供者职业倦怠和相关卫生人力危机方面发挥作用。

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本文引用的文献

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Advancing Curriculum Development and Design in Health Professions Education: A Health Equity and Inclusion Framework for Education Programs.推进健康职业教育课程开发和设计:教育项目的健康公平与包容框架。
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Education as drug policy: A realist synthesis of continuing professional development for opioid agonist therapy.作为毒品政策的教育:阿片类激动剂治疗持续专业发展的实在论综合分析
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Inability to access primary care clinics among people who inject drugs in a Canadian health care setting.在加拿大医疗保健环境中,注射毒品者无法获得初级保健诊所的服务。
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Primary care teams' experiences of delivering mental health care during the COVID-19 pandemic: a qualitative study.初级保健团队在 COVID-19 大流行期间提供精神卫生保健的经验:一项定性研究。
BMC Fam Pract. 2021 Jul 1;22(1):143. doi: 10.1186/s12875-021-01496-8.
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What Is the State of Compassion Education? A Systematic Review of Compassion Training in Health Care.同情心教育的现状如何?医疗保健中同情心培训的系统评价。
Acad Med. 2021 Jul 1;96(7):1057-1070. doi: 10.1097/ACM.0000000000004114.
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Healthcare providers perspectives on compassion training: a grounded theory study.医疗服务提供者对共情训练的看法:一项扎根理论研究。
BMC Med Educ. 2020 Aug 5;20(1):249. doi: 10.1186/s12909-020-02164-8.
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How Collaborative Mentoring Networks Are Building Capacity in Primary Care.协作指导网络如何提升初级医疗保健能力。
Healthc Q. 2019 Oct;22(3):54-60. doi: 10.12927/hcq.2019.26016.
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Can Organizational Leaders Sustain Compassionate, Patient-Centered Care and Mitigate Burnout?组织领导者能否维持富有同情心、以患者为中心的护理并减轻倦怠?
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