患者档案试点项目--临床经验分享工具

Sigurd Syrdal Aanderaa, Linn Bjerknes, Mette Nordbrønd Mikkelsen, Espen Ajo Arnevik
{"title":"患者档案试点项目--临床经验分享工具","authors":"Sigurd Syrdal Aanderaa, Linn Bjerknes, Mette Nordbrønd Mikkelsen, Espen Ajo Arnevik","doi":"10.52734/ogja5844","DOIUrl":null,"url":null,"abstract":"Diagnostic systems and other established typologies do not facilitate comparison of clinical experiences in a collegial community. There is a need for new tools for sharing of clinical experience that identify patients who will benefit from similar approaches and that serve as a common language across treatment approaches and professions. We present a pilot project from an outpatient clinic for substance use disorders in Oslo where we developed what we call patient profiles. The purpose was to explore whether systematically articulating and comparing clinics' intuitive knowledge can provide a starting point for categories of experience sharing and knowledge development. Research into intuitive knowledge and the grounded theory method were used as the basis for developing the patient profiles. A key prerequisite was that the method could be applied in a clinical setting. We developed the profiles in a stepwise process that included systematically articulating and comparing three clinicians' intuitive experiences of similarity for all patients on their respective patient lists, and then presenting and discussing the profiles in a collegial community. We arrived at three patient profiles: A, B and C. The outpatients clinic has used these profiles to compare clinical experiences. We found that we gained more insight into our colleagues' approaches and experiences and that challenges associated with each profile shared common features. Patient profiles are explicitly local categories that are useful in sharing of clinical experience wherever these are developed. Our profiles are not necessarily representative of other outpatient clinics for substance abuse. One advantage of articulating tacit and intuitive knowledge is that it offers clinicians the opportunity to nuance, reflect on and correct stereotypes and biases in treatment cultures Furthermore, we envisage more direct investigations into whether patient profiles facilitate comparison of treatment experiences. Keywords: intuitive knowledge, experience-based knowledge, clinical experience sharing, substance use disorders","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"8 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pilotprosjekt om pasientprofiler – et verktøy for klinisk erfaringsdeling\",\"authors\":\"Sigurd Syrdal Aanderaa, Linn Bjerknes, Mette Nordbrønd Mikkelsen, Espen Ajo Arnevik\",\"doi\":\"10.52734/ogja5844\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Diagnostic systems and other established typologies do not facilitate comparison of clinical experiences in a collegial community. There is a need for new tools for sharing of clinical experience that identify patients who will benefit from similar approaches and that serve as a common language across treatment approaches and professions. We present a pilot project from an outpatient clinic for substance use disorders in Oslo where we developed what we call patient profiles. The purpose was to explore whether systematically articulating and comparing clinics' intuitive knowledge can provide a starting point for categories of experience sharing and knowledge development. Research into intuitive knowledge and the grounded theory method were used as the basis for developing the patient profiles. A key prerequisite was that the method could be applied in a clinical setting. We developed the profiles in a stepwise process that included systematically articulating and comparing three clinicians' intuitive experiences of similarity for all patients on their respective patient lists, and then presenting and discussing the profiles in a collegial community. We arrived at three patient profiles: A, B and C. The outpatients clinic has used these profiles to compare clinical experiences. We found that we gained more insight into our colleagues' approaches and experiences and that challenges associated with each profile shared common features. Patient profiles are explicitly local categories that are useful in sharing of clinical experience wherever these are developed. Our profiles are not necessarily representative of other outpatient clinics for substance abuse. One advantage of articulating tacit and intuitive knowledge is that it offers clinicians the opportunity to nuance, reflect on and correct stereotypes and biases in treatment cultures Furthermore, we envisage more direct investigations into whether patient profiles facilitate comparison of treatment experiences. Keywords: intuitive knowledge, experience-based knowledge, clinical experience sharing, substance use disorders\",\"PeriodicalId\":344686,\"journal\":{\"name\":\"Tidsskrift for Norsk psykologforening\",\"volume\":\"8 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tidsskrift for Norsk psykologforening\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.52734/ogja5844\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tidsskrift for Norsk psykologforening","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.52734/ogja5844","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

诊断系统和其他既有的类型学并不利于在同事间比较临床经验。我们需要新的工具来分享临床经验,这些工具可以识别出从类似方法中获益的患者,并作为不同治疗方法和专业的共同语言。我们介绍了奥斯陆一家药物使用障碍门诊的一个试点项目,在该项目中,我们建立了所谓的 "患者档案"。该项目旨在探索系统地阐述和比较诊所的直觉知识是否能为经验分享和知识发展提供一个起点。对直觉知识的研究和基础理论方法是建立患者档案的基础。一个关键的先决条件是这种方法可以应用于临床环境。我们通过一个循序渐进的过程建立了患者档案,包括系统地阐述和比较三位临床医生对各自患者名单上所有患者相似性的直观体验,然后在一个同事社区中展示和讨论这些档案。最后,我们得出了三种病人特征:门诊部利用这些资料来比较临床经验。我们发现,我们对同事的方法和经验有了更深入的了解,而且与每种情况相关的挑战都有共同的特点。病人档案是明确的本地分类,无论在哪里建立,都有助于分享临床经验。我们的病例不一定代表其他药物滥用门诊的情况。阐明隐性和直觉知识的一个好处是,它为临床医生提供了细微差别、反思和纠正治疗文化中的陈规定型观念和偏见的机会。此外,我们设想对患者档案是否有助于比较治疗经验进行更直接的调查。关键词:直觉知识、基于经验的知识、临床经验分享、药物使用障碍
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pilotprosjekt om pasientprofiler – et verktøy for klinisk erfaringsdeling
Diagnostic systems and other established typologies do not facilitate comparison of clinical experiences in a collegial community. There is a need for new tools for sharing of clinical experience that identify patients who will benefit from similar approaches and that serve as a common language across treatment approaches and professions. We present a pilot project from an outpatient clinic for substance use disorders in Oslo where we developed what we call patient profiles. The purpose was to explore whether systematically articulating and comparing clinics' intuitive knowledge can provide a starting point for categories of experience sharing and knowledge development. Research into intuitive knowledge and the grounded theory method were used as the basis for developing the patient profiles. A key prerequisite was that the method could be applied in a clinical setting. We developed the profiles in a stepwise process that included systematically articulating and comparing three clinicians' intuitive experiences of similarity for all patients on their respective patient lists, and then presenting and discussing the profiles in a collegial community. We arrived at three patient profiles: A, B and C. The outpatients clinic has used these profiles to compare clinical experiences. We found that we gained more insight into our colleagues' approaches and experiences and that challenges associated with each profile shared common features. Patient profiles are explicitly local categories that are useful in sharing of clinical experience wherever these are developed. Our profiles are not necessarily representative of other outpatient clinics for substance abuse. One advantage of articulating tacit and intuitive knowledge is that it offers clinicians the opportunity to nuance, reflect on and correct stereotypes and biases in treatment cultures Furthermore, we envisage more direct investigations into whether patient profiles facilitate comparison of treatment experiences. Keywords: intuitive knowledge, experience-based knowledge, clinical experience sharing, substance use disorders
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信