Kirsi Myllykangas, Henna Härkönen, Maria Kääriäinen, Mikko Kärppä, Miia Jansson
{"title":"促进因素、障碍和可能的解决方案以提高脑血管疾病患者的咨询质量:一项描述性质的研究。","authors":"Kirsi Myllykangas, Henna Härkönen, Maria Kääriäinen, Mikko Kärppä, Miia Jansson","doi":"10.1111/scs.70024","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Cerebrovascular diseases, such as transient ischaemic attack and stroke, are mainly caused by behavioural and metabolic risk factors. Effective patient counselling can address these risk factors and reduce the burden of stroke.</p><p><strong>Methods: </strong>We aimed to describe the facilitators, barriers and possible solutions to improve the quality of counselling in patients with cerebrovascular diseases using a descriptive, qualitative approach. Semi-structured face-to-face interviews were conducted with 26 healthcare professionals at a single university hospital in Finland between August 2021 and March 2022. The data were analysed using deductive content analysis.</p><p><strong>Results: </strong>The healthcare professionals identified facilitators, barriers and possible solutions to support the quality of counselling in five main categories: (1) background factors, (2) resources, (3) implementation, (4) sufficiency and (5) effects of counselling, and seven generic categories.</p><p><strong>Conclusions: </strong>To improve the quality of counselling, new digital counselling solutions need to be developed. Solutions should be high-quality, consider the special needs of patients with cerebrovascular diseases, ease the process of information exchange between stakeholders and facilitate the workflow of healthcare professionals. Patients' access to health-related information, availability of electronic devices, patients' eHealth literacy skills and healthcare professionals' counselling skills should be supported to reduce the burden of stroke.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 1","pages":"e70024"},"PeriodicalIF":1.9000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Facilitators, Barriers, and Possible Solutions to Improve the Quality of Counselling in Patients With Cerebrovascular Diseases: A Descriptive Qualitative Study.\",\"authors\":\"Kirsi Myllykangas, Henna Härkönen, Maria Kääriäinen, Mikko Kärppä, Miia Jansson\",\"doi\":\"10.1111/scs.70024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Cerebrovascular diseases, such as transient ischaemic attack and stroke, are mainly caused by behavioural and metabolic risk factors. Effective patient counselling can address these risk factors and reduce the burden of stroke.</p><p><strong>Methods: </strong>We aimed to describe the facilitators, barriers and possible solutions to improve the quality of counselling in patients with cerebrovascular diseases using a descriptive, qualitative approach. Semi-structured face-to-face interviews were conducted with 26 healthcare professionals at a single university hospital in Finland between August 2021 and March 2022. The data were analysed using deductive content analysis.</p><p><strong>Results: </strong>The healthcare professionals identified facilitators, barriers and possible solutions to support the quality of counselling in five main categories: (1) background factors, (2) resources, (3) implementation, (4) sufficiency and (5) effects of counselling, and seven generic categories.</p><p><strong>Conclusions: </strong>To improve the quality of counselling, new digital counselling solutions need to be developed. Solutions should be high-quality, consider the special needs of patients with cerebrovascular diseases, ease the process of information exchange between stakeholders and facilitate the workflow of healthcare professionals. Patients' access to health-related information, availability of electronic devices, patients' eHealth literacy skills and healthcare professionals' counselling skills should be supported to reduce the burden of stroke.</p>\",\"PeriodicalId\":48171,\"journal\":{\"name\":\"Scandinavian Journal of Caring Sciences\",\"volume\":\"39 1\",\"pages\":\"e70024\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Scandinavian Journal of Caring Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/scs.70024\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scandinavian Journal of Caring Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/scs.70024","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Facilitators, Barriers, and Possible Solutions to Improve the Quality of Counselling in Patients With Cerebrovascular Diseases: A Descriptive Qualitative Study.
Introduction: Cerebrovascular diseases, such as transient ischaemic attack and stroke, are mainly caused by behavioural and metabolic risk factors. Effective patient counselling can address these risk factors and reduce the burden of stroke.
Methods: We aimed to describe the facilitators, barriers and possible solutions to improve the quality of counselling in patients with cerebrovascular diseases using a descriptive, qualitative approach. Semi-structured face-to-face interviews were conducted with 26 healthcare professionals at a single university hospital in Finland between August 2021 and March 2022. The data were analysed using deductive content analysis.
Results: The healthcare professionals identified facilitators, barriers and possible solutions to support the quality of counselling in five main categories: (1) background factors, (2) resources, (3) implementation, (4) sufficiency and (5) effects of counselling, and seven generic categories.
Conclusions: To improve the quality of counselling, new digital counselling solutions need to be developed. Solutions should be high-quality, consider the special needs of patients with cerebrovascular diseases, ease the process of information exchange between stakeholders and facilitate the workflow of healthcare professionals. Patients' access to health-related information, availability of electronic devices, patients' eHealth literacy skills and healthcare professionals' counselling skills should be supported to reduce the burden of stroke.
期刊介绍:
Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.