关键词: Intensive Care Person-centred physiotherapy qualitative rehabilitation

来  源:   DOI:10.1080/09638288.2023.2266993

Abstract:
UNASSIGNED: Person-centred care is widely accepted as being central to high quality care, but little is known about how physiotherapists implement person centred rehabilitation in Intensive Care. This study explores the self-reported experiences and interpretations of physiotherapists delivering person-centred rehabilitation in this setting.
UNASSIGNED: A qualitative study using Interpretative Phenomenological Analysis explored the lived experiences of physiotherapists and students who have worked in Intensive Care. Three focus groups, with four participants in each, were conducted. Data were fully transcribed, analysed and managed using NVivo software.
UNASSIGNED: Participants shared similar interpretations about the principles of person-centred care. Operationalising person-centred rehabilitation during early recovery was not easily achievable. As the person\'s clinical condition improved, participants moved away from routine physiotherapy and their practice became more person-centred through the development of a partnership. Participants connected as humans to understand the person and respond to their needs within a culture that valued person-centred care.
UNASSIGNED: Physiotherapists aspire to develop a partnership with their patients by connecting on a human level with them and addressing their biopsychosocial needs. Physiotherapists with experience of developing patient partnerships influence the culture of the Intensive Care team and are role-models to facilitate collaborative person-centred activity in others.
Physiotherapists can move from a biomedical approach towards becoming partners with patients in an Intensive Care Unit (ICU) as they become cognitively aware.Physiotherapists become person-centred by connecting as humans to the patient and moving towards a biopsychosocial approach that addresses the physical, psychological and instrumental needs of the patient in ICU.When aiming towards a person-centred approach on ICU, physiotherapists contribute to a culture that nurtures the unique patient and works collaboratively with the family and the health care team.Experience working with patients in ICU, allows physiotherapists to identify opportunities to be person-centred and facilitate other team members in becoming so.
摘要:
以人为中心的护理被广泛认为是高质量护理的核心,但很少有人知道物理治疗师如何在重症监护中实施以人为中心的康复。这项研究探讨了在这种情况下提供以人为本的康复的物理治疗师的自我报告经验和解释。
使用解释性现象学分析的定性研究探索了物理治疗师和在重症监护工作的学生的生活经历。三个焦点小组,每个人都有四个参与者,进行了。数据被完全转录,使用NVivo软件进行分析和管理。
与会者对以人为本的护理原则有类似的解释。在早期恢复期间进行以人为本的康复并不容易实现。随着患者临床状况的改善,参与者摆脱了常规的物理治疗,通过发展伙伴关系,他们的实践变得更加以人为本。参与者以人类的身份联系起来,以了解这个人,并在重视以人为本的护理的文化中回应他们的需求。
物理治疗师渴望通过在人的层面上与患者建立联系并满足他们的生物心理社会需求,与患者建立伙伴关系。具有发展患者伙伴关系经验的物理治疗师会影响重症监护团队的文化,并且是促进他人以人为中心的协作活动的榜样。
物理治疗师可以从生物医学方法转向成为重症监护病房(ICU)患者的合作伙伴,因为他们变得有认知意识。物理治疗师通过将人类与患者联系起来,并朝着解决物理,ICU患者的心理和工具需求。当针对ICU采取以人为本的方法时,物理治疗师为培养独特患者并与家庭和医疗保健团队合作的文化做出了贡献。在ICU与患者一起工作的经验,允许物理治疗师识别以人为中心的机会,并促进其他团队成员成为这样。
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