"这关系到他们有多善良":荷兰护理体系中专业人员对护理人员态度的重要性

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yvette Wittenberg, Rick Kwekkeboom, Arnoud P. Verhoeff
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引用次数: 0

摘要

近年来,荷兰当局试图将正式护理责任转向非正式护理责任,以满足日益增长的护理需求。人们越来越期望社会和医疗保健专业人员能够积极参与、支持并与合作伙伴、家庭成员和其他提供非正式护理的人员合作。然而,这种合作的实际执行情况尚不明显。在这项定性研究中,我们进行了 37 次个人访谈和 8 次焦点小组讨论,以探讨荷兰非正规护理人员在与社会和医疗保健专业人员合作方面的偏好。鉴于越来越多的人认为,专业人员应根据护理人员的个人情况量身定制护理方法,我们采用了交叉方法来研究护理人员的社会地位与偏好之间的关系,以及系统和权力动态对这些合作的影响。研究结果表明,护理人员对合作的担忧大多源于他们与专业人员互动的组织环境,而非互动本身。照护者的社会地位并不一定会导致他们对与专业人士合作的不同看法;但是,照护者确实希望专业人士能够意识到他们的社会地位,因为这些地位决定了提供非正式照护的环境,并决定了照护者能在多大程度上将照护责任融入自己的生活。为了在短期内加强照护者与专业人员之间的合作,照护组织以及社会和医疗保健教育计划应鼓励专业人员将照护者视为平等的照护伙伴。专业人员必须承认照护者的角色,并在照护者和接受照护者现有关系的基础上制定共同安排照护的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

“It Is about How Kind They Are”: The Significance of Professionals’ Attitudes towards Caregivers in the Dutch Care System

“It Is about How Kind They Are”: The Significance of Professionals’ Attitudes towards Caregivers in the Dutch Care System

In recent years, Dutch authorities have attempted to shift from formal to informal care responsibilities to meet an increasing demand for care. There is a growing expectation that social and healthcare professionals will actively involve, support, and collaborate with partners, family members, and others who provide informal care. However, the practical implementation of such collaborations is not yet evident. In this qualitative study, 37 individual interviews and eight focus groups were conducted to explore the preferences of informal caregivers in the Netherlands regarding their collaboration with social and healthcare professionals. In recognition of the growing consensus that professionals should tailor their approach to caregivers’ individual circumstances, we adopted an intersectional approach to examine the relationship between caregivers’ social positions and preferences as well as the impact of systemic and power dynamics on these collaborations. The findings indicate that most of caregivers’ worries concerning collaborations are rooted in the organisational context of their interactions with professionals rather than the interactions themselves. Caregivers’ social positions do not necessarily lead to varying opinions regarding collaboration with professionals; however, caregivers do expect professionals to be aware of their social positions, as these positions shape the context within which informal care is provided and determine how easily caregivers can integrate care responsibilities into their lives. To enhance collaboration between caregivers and professionals in the short term, care organisations and social and healthcare educational programmes should encourage a professional mindset that recognises caregivers as equal partners in care. It is essential for professionals to acknowledge the caregiver’s role and devise strategies for arranging care together that build on the existing relationship between the caregiver and care recipient.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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