Empowerment of whom? The gap between what the system provides and patient needs in hip fracture management: A healthcare professionals' lifeworld perspective
Empowerment of whom? The gap between what the system provides and patient needs in hip fracture management: A healthcare professionals' lifeworld perspective
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DOI：
10.1016/j.ijotn.2020.100778
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发表时间：
2020-08-01
影响因子：
1.4
通讯作者：
Clemensen, Jane
中科院分区：
文献类型：
--
作者：
Jensen, Charlotte M.;Santy-Tomlinson, Julie;Clemensen, Jane
目的和目标：使用哈贝马斯的生活世界理论的角度来阐明一个治疗差距髋部骨折患者在丹麦大学医院，以指导未来的healthcare services.Background：大多数医疗保健系统的重点是系统化的指导方针，以帮助减少住院时间，以应对日益增长的需求，因为全球人口老龄化。对于髋部骨折患者，先前的研究表明，缺乏患者授权，患者的需求和愿望与医疗保健系统提供的服务之间存在差距。设计：在这项随访研究中，将先前的研究结果介绍给参加焦点小组讨论的混合健康专业人员（HP）方法：采用定性内容分析法对数据进行分析。通过分析话语的讨论，使用哈贝马斯的角度来看，缺乏患者赋权照明和促进，描述它的差距，它创建在HP和patients.Results之间的沟通actions：信息和教育的患者在系统化的途径，如髋部骨折的患者，是占主导地位的生物医学话语。患者是不堪重负的髋关节骨折的心理社会影响，让他们在一个休克般的mind.Conclusion：患者赋权应涉及授权的HP提供他们的技能，以支持患者在休克般的心态。还需要向保健人员提供更有针对性的告知和教育患者的手段。
Aims and objectives: To use a Habermasian lifeworld theoretical perspective to illuminate a treatment gap for hip fracture patients in a Danish university hospital to guide future healthcare services.Background: Most healthcare systems focus on systematised guidelines to help reduce hospital length of stay in response to increasing demand because of the ageing of the global population. For patients with hip fractures, a previous study demonstrated that there is a lack of patient empowerment and a gap between patients' needs and wishes and what was provided by the healthcare system.Design: In this follow-up study, the previous findings were introduced to a mixed group of health professionals (HPs) who participated in focus group discussions (n = 3, with a total of 18 HPs).Methods: Data were analysed using qualitative content analysis. By analysing the discourse of the discussions using Habermas' perspective, the lack of patient-empowerment was illuminated and facilitated, describing it in terms of the gap it creates in communicative actions between HPs and patients.Results: Information and education of patients in systematised pathways, such as those for patients with hip fractures, are dominated by a biomedical discourse. Patients are overwhelmed by the psycho-social implications of the hip fracture, leaving them in a shock-like state of mind.Conclusion: Empowerment of patients should involve empowerment of HPs by providing them with skills to support patients in a shock-like state of mind. There is also a need to provide HPs with a more individually targeted means of informing and educating patients.