The humanization of healthcare: A value framework for qualitative research
The humanization of healthcare: A value framework for qualitative research
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DOI：
10.1080/17482620802646204
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发表时间：
2009-06-01
影响因子：
1.8
通讯作者：
Holloway, Immy
中科院分区：
文献类型：
--
作者：
Todres, Les;Galvin, Kathleen T.;Holloway, Immy
质的研究，通过对人们的观点和经历的启发，为关怀实践提供了一种特殊的有用证据。然而，到目前为止，它在医疗保健领域找到了自己的位置，而没有对人性化实践产生强大的影响，而人性化实践是它的关键优势。我们的文件制定了人性化关怀的概念框架，并通过实例说明了一个正在形成的议程，该议程将定性研究带入其迟来的下一个阶段：进入政策制定；进入专业教育的课程；并以将人作为人的中心地位的方式有意义地转化为实践。本文提供了人性化的八个哲学层面，它们共同构成了一个框架，构成了一个综合的价值基础，用于考虑关怀系统和互动中潜在的人性化和非人性化因素。在每一种情况下，我们都会参照已发表的研究，说明定性研究结果如何已经与我们的概念框架中阐明的人性化重点保持一致。最后，我们描述了一种互惠关系，在这种关系中，人性化的价值框架引导着对定性研究的专注，而在这种关系中，定性研究反过来又支持人性化的强调，因为它的内在特征。
Qualitative research, through its illumination of people's perspectives and experiences, has contributed a particular kind of useful evidence for caring practices. Until now however, it has found its location in healthcare without making the powerful impact on humanizing practice that is its key strength. Our paper develops a conceptual framework for humanizing care, and through examples illustrates an emerging agenda that moves qualitative research into its next and overdue phase: to enter policy-making; curricula in professional education; and to be meaningfully translated into practice in ways that place people as human beings at the centre of care. This paper provides eight philosophically informed dimensions of humanization, which together, form a framework that constitutes a comprehensive value base for considering both the potentially humanizing and dehumanizing elements in caring systems and interactions. In each case, we show, with reference to published studies, how qualitative research findings are already consistent with the humanizing focus articulated in our conceptual framework. We finally describe a reciprocal relationship in which the humanizing value framework guides a dedicated focus for qualitative research, and in which qualitative research in its turn, supports the humanising emphasis because of its intrinsic features.