与奥特亚罗瓦/新西兰的临床医生和医疗保健领导者共同设计医疗保健同情干预措施并进行可行性调查

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
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引用次数: 0

摘要

医疗保健中的同情心受到患者和医疗保健专业人员(HCPs)的重视,并能改善治疗效果。尽管有报道称在提供体恤关怀方面存在系统性失误,但有关干预方法的研究仍然有限。本研究旨在通过共同设计流程,明确新西兰奥特亚罗瓦(Aotearoa New Zealand,NZ)公立二级医疗保健机构中不同医护人员的同情心干预需求。共同设计过程包括与临床医生开展一系列研讨会,然后与医疗保健领导者进行深入访谈,以获得有关可行性和实施方面的意见。数据分析采用了反思性主题分析法。医疗保健专业人员和领导者对同情干预非常感兴趣。然而,要使同情干预措施被接受、可行且有效,同情干预措施的设计应在干预措施设计和实施的每个步骤中进行重新构想和反思,并跨越组织层面。也就是说,研究结果表明,人们更倾向于采取以非个体为重点的多层次干预措施,以建立桥梁和联系。所需的同情干预内容包括练习与他人的人性建立联系、提高同情知识、关系和反思技能,以及文化安全和反种族主义培训。文化对话模式中的体验式培训是首选的干预方式。建议将领导层作为优先干预对象,以提高领导层对同情心干预措施的认同度,并有可能作为转变更广泛文化的起点,在被描述为支离破碎、相互脱节和疏远的医疗保健系统中恢复相互联系,同时同情心也是权力的平衡器。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare compassion interventions co-design and feasibility inquiry with clinicians and healthcare leaders in Aotearoa/New Zealand

Compassion in healthcare is valued by patients, healthcare professionals (HCPs), and leads to improved outcomes. Notwithstanding reports of systemic failings in the provision of compassionate care, research regarding ways to intervene remains limited. The aim of this study is to clarify compassion intervention needs in a diverse HCP workforce in public secondary healthcare in Aotearoa New Zealand (NZ) by utilising a co-design process. The co-design process involved a series of workshops with clinicians followed by in-depth interviews with healthcare leaders to derive input regarding feasibility and implementation. Reflexive thematic analysis was used to analyze the data. There was a great deal of interest in compassion interventions from healthcare professionals and leaders. However, for compassion interventions to be acceptable, feasible, and effective, compassion interventions design should be reimagined and reflected at each step of interventional design and implementation and span across organizational levels. Namely, the results of the study showed the preference for non-individual focused multi-level interventions to build bridges and connections. The desired compassion intervention components included practising connecting with others' humanity, improving compassion knowledge and relational and reflective skills, and cultural safety and anti-racism training. Experiential training embedded in models of cultural dialogue was the preferred interventional modality. Prioritising leadership as an intervention site was suggested to improve leadership's buy-in of compassion interventions and possibly serve as a starting point for transforming the broader culture, reviving interconnectedness in a healthcare system described as fragmented, disconnected, and alienating with compassion also acting as an equalizer of power.

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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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