Abuse in health care: a concept analysis
Abuse in health care: a concept analysis
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DOI：
10.1111/j.1471-6712.2011.00918.x
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发表时间：
2012-03-01
影响因子：
1.9
通讯作者：
Swahnberg, Katarina
中科院分区：
文献类型：
--
作者：
Bruggemann, Adrianus Jelmer;Wijma, Barbro;Swahnberg, Katarina
目的和目标：分析医疗保健中滥用的概念。该分析还涵盖了医疗保健中的滥用与医疗差错、患者满意度和个人身份威胁等相关概念的不同之处。背景：卫生保健中的滥用是一个需要明确分析和定义的新兴概念。同时，相关概念的边界没有划分。设计：由Walker和Avant开发的概念分析。方法：采用《护理与相关健康文献累积索引》、《Medline》、《谷歌Scholar》等数据库检索1997 ~ 2009年发表的文献。共有11条涉及保健中的虐待，4条涉及医疗差错，6条涉及病人满意度，3条涉及个人身份威胁。结果：卫生保健中的滥用是由患者与卫生保健系统接触的主观经历定义的，其特征是缺乏护理，患者在此遭受痛苦并感到他们失去了作为人的价值。这些事件通常是无意的。我们还发现了与上述相关概念的差异：医疗错误不分享患者的观点，患者满意度不为患者的虐待经历提供空间。个人身份威胁的概念与医疗保健中的虐待行为具有所有相同的特征，但它缺乏表明这一现象背后的社会结构的先决条件。结论：卫生保健中的滥用涵盖了一种具有严重后果的现象，但如果从医疗错误或患者满意度的角度来看，这种现象是不可见的。
Aims and objectives: To analyse the concept of abuse in health care. This analysis also covers how abuse in health care is different from the related concepts of medical error, patient satisfaction and personal identity threat.Background: Abuse in health care is an emerging concept in need of a clear analysis and definition. At the same time, boundaries to the related concepts are not demarcated.Design: Concept analysis as developed by Walker and Avant.Method: The databases Cumulative Index to Nursing and Allied Health Literature, Medline, and Google Scholar were used to obtain articles published between 1997 and 2009. A total of eleven articles are referred to on abuse in health care, four on medical error, six on patient satisfaction and three on personal identity threat.Results: Abuse in health care is defined by patients' subjective experiences of encounters with the health care system, characterized by devoid of care, where patients suffer and feel they lose their value as human beings. The events are most often unintended. We also found differences with the aforementioned related concepts: medical error does not share the patients' perspective, and patient satisfaction does not offer room for patients' abusive experiences. The concept of personal identity threat shares all attributes with abuse in health care, but it lacks an antecedent that signifies the social structures underlying the phenomenon.Conclusions: Abuse in health care covers a phenomenon that has severe consequences but is invisible if seen from a medical error or patient satisfaction perspective.