摘要
Abstract
Objective To understand the barriers and facilitators to implementing the"unaccompanied"hospitalization model in hospitals through interviews with healthcare providers and patients,aiming to provide a reference for related activities.Methods A descriptive qualitative study was conducted.Specifically,from July to August 2022,healthcare providers and inpatients in pilot wards implementing the"unaccompanied"hospitalization model at Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine were selected by purposive sampling to participate in semi-structured interviews.Their interview data were analyzed using Colaizzi's seven-step method.Results A total of 21 healthcare providers and 5 patients were interviewed.Based on their experiences with"unaccompanied"hospitalization,3 barriers and 2 facilitators were identified as follows:challenges in multifaceted coordination within doctor-patient relationships,bottlenecks in critical medical service processes,and low social recognition;intrinsic motivation from both medical service providers and consumers,and innovation in interaction models.On this basis,12 sub-themes were yielded(barriers:insufficient trust in the professionalism of healthcare providers,difficulties in information sharing among multiple parties,cognitive differences regarding patients'accompanying needs among parties,systemic challenges in departmental safety management,bottlenecks in critical medical service processes,inadequate logistics support,suppression of patients'emotional needs,insufficient supply of medical resources;facilitators:ward environment improvement,reduced pressure on family caregivers,expectations for enhanced hospital operational efficiency,innovation in visitation and communication models).Conclusion Most respondents acknowledge the benefits of the"unaccompanied"hospitalization model.However,they also recognize numerous challenges in its clinical implementation.Targeted support from the government,society and medical institutions is expected to facilitate the successful implementation of this model.关键词
陪护/"无陪护"住院模式/免陪照护/阻碍因素/促进因素/半结构式访谈/质性研究Key words
Accompanying/"Unaccompanied"hospitalization model/Unaccompanied care/Barrier/Facilita-tor/Semi-structured interview/Qualitative study分类
医药卫生
