Background In this COVID‐19 era, we need to rethink the criteria used to measure the results of person‐centred care strategies. Objective To identify priorities, and criteria that health services can use to pursue actually the goal of achieving person‐centred care. Design Three‐phase online qualitative study performed during May–July of 2020 using the Delphi technique. Setting and Participants An online platform was used for a consensus meeting of 114 participants, including health planning experts, health‐care institution managers, clinicians and patients. Main Outcome Measures Criteria and indicators for the achievement of person‐centred care. Main Results The first round began with 125 proposals and 11 dimensions. After the second round, 28 ideas reached a high level of consensus among the participants. Ultimately, the workgroup agreed on 20 criteria for goals in the implementation of person‐centred care during the COVID‐19 era and 21 related indicators to measure goal achievement. Discussion Nine dimensions and 28 priorities were identified. These priorities are also in accordance with the quadruple aim approach, which emphasizes the need for care for health‐care professionals, without whom it is impossible to achieve a better quality of care. Conclusions Person‐centred care continues to be a key objective. However, new metrics are needed to ensure its continued development during the restoration of public health services beyond the control of COVID‐19. Patient or Public Contribution Twelve professionals and patient representatives participated voluntarily in the construction of the baseline questionnaire and in the selection of the criteria and indicators using an online platform for consensus meetings.
ResumenLa reformulación, como técnica esencial en mediación, permite ofrecer una oportunidad al diálogo y al entendimiento, al realizar rectificaciones a medida que avanza el discurso, dotando de un cariz pacificador a la situación y, por lo tanto, a la relación de fondo existente entre las personas; la operación metadiscursiva busca una connotación positiva de la elocución, un ejercicio empático por parte de las personas en su búsqueda de consenso a través de la modalización de su actitud proposicional El presente trabajo se centra en analizar el discurso de los estudiantes ante hipotéticas situaciones de conflicto, encontrando una reducida frecuencia de uso del lenguaje amigable y habilidades empáticas como ponerse en el lugar del otro y expresarlo, ambas implicadas tanto en la producción de operaciones de reformulación, como en la convivencia pacífica. Palabras clave: reformulación, mediación escolar. AbstractReformulation, as an essential technique in mediation, allows us to offer an opportunity for dialogue and understanding, to make corrections as the discourse progresses, giving a pacification to the situation and, therefore, to the fundamental relationship between people; The metadiscursive operation seeks a positive connotation of elocution, an empathic exercise by the people in their looking for consensus through the modalization of their propositional attitude The present work focuses on analyzing students' discourse in a hypothetical conflict situation, finding a reduced frequency of use of friendly language and empathic skills such as putting oneself in the place of the other and expressing it, involved in both the production of reformulation operations, and peaceful coexistence. Keywords: reformulation, schoolar mediation. IntroducciónEn los últimos años, se han promovido en España diversas iniciativas para mejorar la convivencia y asegurar la resolución de conflictos en los centros escolares. Concretamente, en Galicia, el Decreto 8/2015, do 8 de xaneiro, polo que se desenvolve a Lei 4/2011, do 30 de xuño, de convivencia e participación da comunidade educativa en materia de convivencia escolar establece la mediación como una importante estrategia de prevención, resolución y reparación de conflictos; esta comprende un complejo sistema de competencias de las que se sirven los mediadores o mediadoras para ayudar a las personas que tienen un conflicto o una controversia a dialogar y a entenderse. En este trabajo nos centraremos en la reformulación, una estrategia discursiva básica empleada en mediación.En un trabajo previo, se señalaba que la reformulación, aplicada a la mediación, "consiste en remodelar un mensaje susceptible de crear o incrementar un conflicto, sustituyéndolo por otro que pueda ser aceptado y que reduzca o elimine potenciales reactancias en el oyente, sin alterar la información básica que se quiere transmitir" (Cuevas et al., 2016, p. 43). De este modo es concebida como una estrategia de control del contenido verbalizado cuando el hablante es consciente de que la intención comunicat...
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