硕士研究生英文文献汇报示例模板

Conclusion
Our conceptual framework encompasses additional elements beyond physical, psychological, social and spiritual domains and advances systematic understanding of complexity within the context of palliative care. This framework helps capture patient-level complexity and target resource provision in specialist palliative care.
Patients’ and healthcare professionals’ perspectives on symptoms and quality of life do not always overlap; other areas of dissonance – such as contradictory or unexpected preferences – also influence complexity.
New information
This research reveals that we need to consider preexisting and cumulative complexity, the dynamic aspects of complexity, invisible complexity, service/system-level factors and societal influences to consider and meet patients’ needs comprehensively and effectively.
process can help enhance
trustworthiness and
methodological rigour.
Advantages
Theoretically based Systematic
Orderly
Comprehensive
Hierarchical
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主讲人
2020.4.4
Complexity included how patients interact with family/professionals, how services’ respond to needs and societal perspectives on care. ‘Pre-existing’, ‘cumulative’ and ‘invisible’ complexity are further important dimensions to delivering effective palliative and end-of-life care. The dynamic nature of illness and needs over time was also profoundly influential.
Results
The microsystem: • The person’s needs • The person’s characteristics • Pre-existing complexity • Cumulative complexity The chronosystem: • Changing complexity over
Results
65 participants provided an understanding of complexity, which extended far beyond the commonly used physical, psychological, social and spiritual domains.
Adapting Bronfenbrenner’s Ecological Systems Theory, we categorised findings into the microsystem (person, needs and characteristics), chronosystem (dynamic influences of time), mesosystem (interactions with family/health professionals), exosystem (palliative care services/systems) and macrosystem (societal influences).
1 2 3
KEY POINTS
• Ecological systems theory
• Results
• Discussion
Results
We found that participants identified components of complexity relating to:
(1) the person;
• Results
• Conclusion
Background & Aim
Palliative care patients are often described as complex but evidence on complexity is limited. We need to understand complexity, including at individual patientlevel, to define specialist palliative care, characterise palliative care populations and meaningfully compare interventions/outcomes.
and coordination of care • Service availability and capacity The macrosystem: • The system-wide structure of
palliative care • The structure and organisation
(5) societal influences.
We recognised strong parallels between our emergent findings and the dimensions proposed by Bronfenbrenner’s Ecological Systems Theory
time The mesosystem: • Dissonance between patients,
families and health professionals • Engagement, prejudice and ‘invisible’ complexity
Results
The exosystem: • Multidisciplinary team meetings
(2) changing and dynamic aspects of illness and needs;
(3) the person’s interactions with family, health professionals and immediate settings;
(4) palliative care services/systems;
Stakeholders found it acceptable to capture complexity at the patient-level, with perceived benefits for improving palliative care resource allocation.
of health and social care systems • End-of-life care policies and values in society • Wealth and deprivation
Inspiration
• New information • Acquisition
Ecological systems theory
Microsystem: ——A person’s immediately surroundings. Mesosystem: ——Interconnections between the microsystems. Exosystem: ——Involves links between a social setting in which the individual does not have an active role and the individual's immediate context. Macrosystem: ——Describes the culture in which individuals live. Chronosystem: ——The patterning of environmental events and transitions over the life course,
4月文献汇报
主讲人
2020.4ห้องสมุดไป่ตู้4
First Published February 19, 2018 Research Article
ABSTRACT KEY POINTS INSPIRATION
ABSTRACT
• Background & Aim • Design & Participants/setting
Design & Participants/setting
Design
In-depth qualitative interviews, analysed using Framework analysis.
Participants
Semi-structured interviews across six UK centres with patients, family, professionals, managers and senior leads, purposively sampled by experience, background, location and setting (hospital, hospice and community).
Acquisition
Qualitative research results can
1 be combined with existing
theories to make the results
clearer.
Use the COREQ guidelines
2
throughout the study design, data collection and analysis
Background
Aim To explore palliative care stakeholders’ views on what makes a patient more or less complex and insights on capturing complexity at patient-level.