患者和家属参与患者安全的概念演变及临床意义

运用Rodgers演化概念分析法对患者和家属参与患者安全概念的演化、替代术语和相关术语、前因变量、结果、概念属性、定义、典型案例进行分析。概念属性包含过程、行为及环境3个领域,4个重要特征分别为个性化、获取、投入及治疗联盟,其前因变量为患者的疾病、健康信息或护理协调的混乱、新政策号召的尝试。结果包括保障患者安全、减少医疗费用和确定最佳做法。澄清患者和家属参与患者安全的概念有助于提高医护人员对其的重视与了解,为临床的实践和研究提供参考和理论依据。

     

Comparisons of the Interpersonal–Psychological Theory of Suicide Constructs Among Individuals Without Suicidality,Ideators, Planners,and Attempters

The Interpersonal–Psychological Theory of Suicide (IPTS) proposes that combinations of thwarted belongingness, perceived burdensomeness, and acquired capability lead to suicide ideation, planning, and attempting. We compared individuals with and without suicidality on thwarted belongingness and perceived burdensomeness, and compared a combined group of planners and attempters to ideators on fearlessness about death (one component of acquired capability). Individuals with suicidality had higher thwarted belongingness and perceived burdensomeness than individuals without suicidality. Planners and attempters did not have higher fearlessness about death than ideators. These findings partially support IPTS hypotheses. Assessing thwarted belongingness and perceived burdensomeness may improve suicide risk determination.