首页> 外文期刊>Sociology of health & illness >Sensemaking and the co-production of safety: a qualitative study of primary medical care patients
【24h】

Sensemaking and the co-production of safety: a qualitative study of primary medical care patients

机译:感官与安全的共同产生:对基层医疗患者的定性研究

获取原文
获取原文并翻译 | 示例
       

摘要

This study explores the ways in which patients make sense of safety' in the context of primary medical care. Drawing on qualitative interviews with primary care patients, we reveal patients' conceptualisation of safety as fluid, contingent, multi-dimensional, and negotiated. Participant accounts drew attention to a largely invisible and inaccessible (but taken for granted) architecture of safety, the importance of psycho-social as well as physical dimensions and the interactions between them, informal strategies for negotiating safety, and the moral dimension of safety. Participants reported being proactive in taking action to protect themselves from potential harm. The somewhat routinised and predictable nature of the primary medical care consultation, which is very different from one off' inpatient spells, meant that patients were not passive recipients of care. Instead they had a stock of accumulated knowledge and experience to inform their actions. In addition to highlighting the differences and similarities between hospital and primary care settings, the study suggests that a broad conceptualisation of patient safety is required, which encompasses the safety concerns of patients in primary care settings.
机译:这项研究探索了在初级医疗中如何使患者感到安全的方法。通过对初级保健患者的定性访谈,我们揭示了患者对安全性的概念,如流动性,偶然性,多维性和协商性。与会者的发言提请人们注意安全在很大程度上是看不见和无法接近(但理所当然)的体系结构,社会心理和物理方面以及它们之间的相互作用的重要性,谈判安全的非正式策略以及安全的道德方面。与会者报告说,他们积极采取行动保护自己免受潜在伤害。初级医疗咨询的常规化程度和可预见性与一次住院的经历大相径庭,这意味着患者并非被动接受治疗。相反,他们拥有积累的知识和经验来指导自己的行动。除了强调医院和基层医疗机构之间的差异和相似性之外,该研究还建议对患者安全进行广泛的概念化,其中包括基层医疗机构中患者的安全性问题。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号