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首页> 外文期刊>German Medical Science >What do positive and negative experiences of patients, relatives, general practitioners, medical assistants, and nurses tell us about barriers and supporting factors in outpatient palliative care? A critical incident interview study
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What do positive and negative experiences of patients, relatives, general practitioners, medical assistants, and nurses tell us about barriers and supporting factors in outpatient palliative care? A critical incident interview study

机译：患者，亲戚，全科医生，医疗助理和护士的积极和消极经验如何告诉我们门诊姑息治疗的障碍和支持因素？一个关键的事件面试研究

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Background: The strengthening of the general practitioners’ (GPs’) role in palliative care (PC) has been identified as a top priority in order to improve PC in Germany. This study aims at exploring positive and negative experiences in PC in Germany from the perspectives of patients, relatives, and health care professionals in a primary care setting. Methods: Between March 2017 and August 2017, a total of 16 interviews with patients, relatives, GPs, medical assistants, and nurses were conducted. The Critical Incident Technique (CIT) was used to explore factors that influence excellent versus undesirable events in PC provision. Two researchers independently defined and counted critical incidents (CIs) from interview transcripts, performed a thematic analysis, and clustered the CIs into dimensions. Results: In summary, 16 interviews contained 280 CIs, divided into 13 0 p ositive and 150 negative CIs. The thematic analysis resulted in seven content domains, with each including positive and negative CIs, respectively: 1) way of care provision, 2) availability of care providers, structures, medication, and aids, 3) general formal conditions of care provision, 4) bureaucracy, 5) working practices in health care teams, 6) quality and outcome of care provision, and 7) communication. Conclusions: The results raise awareness for the aspects that lead to successful or undesirable PC experiences, observed from different perspectives. They open up the potential for primary PC improvement. Future research will facilitate development and implementation of more tailored interventions in order to improve generalists’ PC.
机译：背景：在姑息治疗（PC）中加强普通从业者（GPS'）作用已被确定为最优先事项，以便在德国改善PC。本研究旨在从初级保健环境中的患者，亲属和医疗保健专业人员的角度来探索德国PC的积极和消极体验。方法：2017年3月至2017年8月，对患者，亲属，GPS，医疗助理和护士共进行了16次访谈。批判性事件技术（CIT）用于探索影响PC提供优异的不良事件的因素。两位研究人员独立定义和计算关键事件（CIS）从面试成绩单进行主题分析，并将CIS聚集成维度。结果：总结，16次采访包含280个CIS，分为13 0 P正极和150负CI。主题分析导致七个内容域，每个域分别包括阳性和负数，分别：1）护理方式，2）护理提供者，结构，药物和艾滋病的可用性，3）一般正式护理条件，4 ）官僚机构，5）医疗保健团队的工作实践，6）保健的质量和结果，7）沟通。结论：从不同的观点观察到，结果提高了对导致成功或不期望的PC经验的方面的认识。他们开辟了初级PC改进的潜力。未来的研究将促进开发和实施更具量身定制的干预措施，以改善一般主义者的PC。

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