跨专业护理:患者体验故事

Kateryna Metersky, Jasna K. Schwind
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引用次数: 3

摘要

文献中讨论了跨专业护理(IPC)具有降低医疗保健支出、减少等待时间、提高患者健康结果和提高医疗保健提供者(HCP)对医疗服务的满意度的能力。迄今为止,对患者接受IPC的经历进行了有限的研究。采用Connelly和Clandinin的叙事探究定性研究方法,三名参与者被邀请参与Schwind的叙事反思过程的改进版本,这是一种创造性的自我表达工具,利用讲故事,隐喻选择,绘画,创意写作和反思对话。参与者分享了他们的故事,并选择和绘制了最能代表他们接受IPC经历的隐喻。他们还被问及是否相信以人为本的护理被提供给了他们。根据叙事探究的三个常见场所:时间性、社会性和场所,以及三个证明层次:个人、实际和社会,对收集到的故事进行分析。通过加拿大国家跨专业能力框架的理论视角来检查所讲的故事。在本研究中出现了三条叙事线索:沟通、跨专业团队组成和跨专业团队的耐心。研究结果似乎有助于教育工作者,HCP,政策制定者和研究人员,因为他们努力加强以人为本的跨专业护理实践。对于病人来说,他们的声音被听到的机会已经被勾画出来了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interprofessional Care: Patient Experience Stories
Interprofessional care (IPC) has been discussed in the literature as having the ability to lower health care expenditures, decrease wait times, enhance patient health outcomes and increase healthcare provider (HCP) satisfaction with care-delivery. To date, limited research has been conducted on patients’ experiences of receiving IPC. Using Connelly and Clandinin’s Narrative Inquiry qualitative research approach, three participants were invited to engage in a modified version of Schwind’s Narrative Reflective Process, a creative self-expression tool that utilizes storytelling, metaphor selection, drawing, creative writing and reflective dialogue. Participants shared their stories, and selected and drew metaphors that best represent for them their experiences of receiving IPC. They were also asked whether or not they believe person-centered care was delivered to them. Collected stories were analyzed as per the three common places of Narrative Inquiry: temporality, sociality and place, as well as the three levels of justification: personal, practical and social. Told stories were examined through the theoretical lens of the National Canadian Interprofessional Competency Framework . Three narrative threads emerged within this study: communication, interprofessional team composition, and patient within interprofessional team. The findings appear helpful to inform educators, HCP, policy makers, and researchers, as they strive to enhance person-centered interprofessional care practice. For patients, a clear opportunity for their voices to be heard has been outlined.
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