The Behavioural Display of Compassion in Radiation Therapy: Purpose, Meaning and Interpretation
The Behavioural Display of Compassion in Radiation Therapy: Purpose, Meaning and Interpretation
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DOI：
10.1016/j.jmir.2020.08.003
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发表时间：
2020-12-01
影响因子：
1.8
通讯作者：
Hodgson, Denyse
中科院分区：
文献类型：
--
作者：
Taylor, Amy;Hodgson, Denyse
简介：提供高质量的患者护理是放射线照相人员的全球熟练程度标准。由于同情心和富有同情心的行为被认为是以患者为中心的护理的同义词，因此整个医疗保健专业实践的重点应该放在以同情心为核心的系统上。国家医疗服务体系的失败归咎于护理不足和冷静的实践。英国医疗保健立法因其未能为实际的富有同情心的护理提供意义或明确性而受到批评。因此，它阻碍了国家卫生服务信托基金、服务提供管理者和医疗放射技术人员在地方层面解释和实施有关同情心实践的政策建议的能力。 目的：为了支持同情心立法的实施，本研究试图了解接受者和提供同情心实践者的观点。该研究旨在制定同情心的具体定义，并确定普遍认可的同情心行为。本文报道了医疗放射技术人员通过行为表现出的同情心。方法/材料：共同生产支撑了研究的定性方法探究和设计。进行了十一个焦点小组，其中五个由医疗放射技术人员组成，三个由癌症患者和护理人员组成，三个由学生医学放射技术人员组成。在完成这些小组的主题分析后，举办了三个联合制作研讨会，整合数据，以确保联合制作的研究结果平等地代表三个参与者小组的观点。 结果：通过构建概念框架来说明对富有同情心的展示的理解。研究结果确定了医疗放射技术人员必须采取的可观察行为，以进行富有同情心的展示。通过分析建立了三种富有同情心的行为分类； “具体联系”、“特色表达”和“指示性沟通”。医疗放射技师必须参与所有三个核心行为，以获得患者和个人的理解。理解力使医疗放射技术人员能够建立旨在满足患者同情需求的实践。讨论/结论：医疗放射技术人员采用的行为应增强患者在临床实践中接受的同情护理。该概念框架提供了对同情心展示的理论和实践理解，使其成为培训和评估的宝贵工具。
Introduction: Providing high quality patient care is a worldwide standard of proficiency across the radiographic workforce. As compassion and compassionate behaviours are considered synonymous with patient-centred care, the focus of professional practice throughout healthcare should be on a system that places compassion at its heart.Inadequate care and dispassionate practice have been blamed for failings within the National Health Service. United Kingdom healthcare legislation has been criticised for its failure to provide meaning or clarity to practical compassionate care. Consequently, it has hindered the ability of National Health Service Trusts, service delivery managers and Medical Radiation Technologists to interpret and implement policy recommendations regarding compassionate practice at a local level.Aims: To support the implementation of compassionate legislation, the study sought to understand the perspectives of those in receipt and those delivering compassionate practice. The research aimed to develop a context specific definition of compassion and identify commonly recognised compassionate behaviours. This article reports on the display of compassion through the behaviours of Medical Radiation Technologists.Methods/materials: Co-production underpinned the qualitative methodological inquiry and design of the research. Eleven focus groups were conducted, five with Medical Radiation Technologists three with cancer patients and care-givers and three with student Medical Radiation Technologists. On completion of thematic analysis from those groups, three co-production workshops were conducted, integrating the data to ensure the co-produced findings were equally representative of the perspectives of the three participant groups.Results: An understanding of compassionate display is illustrated through the construction of a conceptual framework. The findings established observable behaviours which a Medical Radiation Technologist must engage in to undertake compassionate display. Three compassionate behavioural classifications were established through the analysis; 'embodied connection', 'characteristic expression' and 'indicative communication'. A Medical Radiation Technologist must engage in all the three core behaviours to gain comprehension of the patient and person. Comprehension enables the Medical Radiation Technologist to establish practices that aim to address the compassionate needs of the patient.Discussion/conclusion: Adoption of the behaviours by Medical Radiation Technologists should enhance compassionate care received by patients within clinical practice. The conceptual framework provides both a theoretical and practical understanding of compassionate display, making it a valuable tool for training and assessment.