Patient participation in emergency care - a phenomenographic study based on patients' lived experience.

Patient participation in emergency care - a phenomenographic study based on patients' lived experience.
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DOI:
10.1016/j.ienj.2008.09.003
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发表时间:
2009-01-01
影响因子:
1.8
通讯作者:
Dahlberg, Karin
Dahlberg, Karin
中科院分区:
医学3区
文献类型:
--
作者:
Frank, Catharina;Asp, Margareta;Dahlberg, Karin

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国际指导方针促进患者参与医疗保健。当病人参与他们的护理时,他们会感到更大的满意度。研究表明,急诊科的病人对他们的护理表示不满,因此,研究病人如何理解和概念化他们的参与是很重要的。本研究的目的是描述病人的质量不同的概念,病人参与他们的护理在急诊科。基于生活世界的角度来看,在急诊科的病人进行了九次访谈。现象学分析表明,患者参与意味着与急诊科工作人员在三类概念上的接触:被承认;努力参与;有一个明确的空间。病人参与的不同概念使我们更深入地了解病人如何体验他们的护理,这一结果可能为制定符合国际准则的护理实践和医疗保健质量提供基础。
International guidelines promote patient participation in health care. When patients participate in their care they experience greater satisfaction. Studies have shown that patients in emergency departments express dissatisfaction with their care, and it was therefore important to study how patients understand and conceptualize their participation. The aim of this study was to describe patients' qualitatively different conceptions of patient participation in their care in an emergency department. Based on a lifeworld perspective, nine interviews were performed with patients in an emergency department. The phenomenographic analysis shows that participation by patients means contact with the emergency department staff in three categories of conceptions: being acknowledged; struggling to become involved; and having a clear space. The different conceptions of patient participation give us a deeper understanding of how patients may experience their care, and this result may provide a foundation for developing nursing practice and the quality of health care in line with international guidelines.