Peer Support Workers in Health: A Qualitative Metasynthesis of Their Experiences

Peer Support Workers in Health: A Qualitative Metasynthesis of Their Experiences
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DOI:
10.1371/journal.pone.0141122
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发表时间:
2015-10-30
期刊:
影响因子:
3.7
通讯作者:
Stagg, Helen R.
Stagg, Helen R.
中科院分区:
综合性期刊3区
文献类型:
--
作者:
MacLellan, Jennifer;Surey, Julian;Stagg, Helen R.

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ObjectivePeer 支持模式,其中一个人有特定的疾病或生活方式的经历,并支持其他经历类似挑战的人,经常被用于不同的医疗保健领域,以成功地吸引难以接触的群体。尽管人们认识到这些角色的价值,但这些角色对同事的影响尚未得到系统评估。通过综合定性文献,我们试图回顾这种影响,为设计未来的临床同行模型提供基础。方法对 Medline、CINAHL 或 Scopus 中记录同行工作者经验的研究进行系统回顾和定性荟萃分析。结果共找到 1,528 篇论文,其中 34 篇符合本研究的标准。综合研究结果,揭示了通过互惠关系和自我治疗性使用、增强责任感来重塑身份的核心结构。 结论 同伴支持工作者基于对自身经历的独特见解,积极与其他边缘化或被排斥的个体互动的能力支持基于适当分享他们的故事的护理治疗模式。我们的研究结果对于最大限度地提高同伴支持工作者的有效性以及为护理治疗模式的发展贡献他们的观点具有重要意义。
ObjectivePeer support models, where an individual has a specific illness or lifestyle experience and supports others experiencing similar challenges, have frequently been used in different fields of healthcare to successfully engage hard-to-reach groups. Despite recognition of their value, the impact of these roles on the peer has not been systematically assessed. By synthesising the qualitative literature we sought to review such an impact, providing a foundation for designing future clinical peer models.MethodsSystematic review and qualitative metasynthesis of studies found in Medline, CINAHL or Scopus documenting peer worker experiences.Results1,528 papers were found, with 34 meeting the criteria of this study. Findings were synthesised to reveal core constructs of reframing identity through reciprocal relations and the therapeutic use of self, enhancing responsibility.ConclusionsThe ability of the Peer Support Worker to actively engage with other marginalised or excluded individuals based on their unique insight into their own experience supports a therapeutic model of care based on appropriately sharing their story. Our findings have key implications for maximising the effectiveness of Peer Support Workers and in contributing their perspective to the development of a therapeutic model of care.