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Pediatric Inpatient Clinical Team Members Perspectives on a Program to Address Social Needs
Hemen Muleta1, Elizabeth Messineo1, Miya Lemberg1
1Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York.
Insights
Pediatric clinical team members see health-related social needs (HRSN) programs as vital care extensions. They value community health workers (CHWs) but seek better EHR integration and communication for program success.
Area of Science:
- Pediatric healthcare delivery
- Implementation science in health equity
- Social determinants of health in clinical settings
Background:
- Health-related social needs (HRSNs) significantly impact pediatric health outcomes.
- Growing implementation of HRSN screening and intervention programs in pediatric inpatient settings.
- Limited research on clinical team member (CTM) perspectives regarding these HRSN programs.
Purpose of the Study:
- To explore CTM perspectives on a pediatric inpatient HRSN screening, referral, and community health worker (CHW) resource navigation program.
- To understand CTM views on integrating social care into acute pediatric care settings.
Main Methods:
- Semi-structured interviews utilizing the Consolidated Framework for Implementation Research (CFIR).
- One-on-one interviews with purposefully sampled CTMs (n=14).
- Rapid qualitative analysis of interview transcripts to identify key themes.
Main Results:
- CTMs perceive social care as integral to inpatient pediatric care goals.
- CHWs are viewed as valuable additions to the multidisciplinary inpatient team.
- Key themes include inpatient setting challenges, the potential of EHR integration, and the need for improved outcome communication to sustain CTM motivation.
Conclusions:
- Inpatient pediatric CTMs view HRSN programs as a natural extension of patient care.
- CTMs recognize the value of CHWs in supporting hospitalized families.
- Optimizing EHR integration, addressing inpatient challenges, and ensuring clear communication on program impact are crucial for successful adoption.
Objective:
Health-related social needs (HRSNs) are associated with pediatric health outcomes. Programs that identify and intervene on unmet HRSNs are growing in pediatric inpatient settings. Research exploring the perspectives of inpatient clinical team members (CTMs) on programs to address unmet HRSNs is currently limited. The objective of this study was to investigate CTM perspectives on a pediatric inpatient HRSN screening, referral, and community health worker (CHW) resource navigation program in an urban tertiary-care pediatric academic hospital.
Methods:
Semi-structured interview guides were developed using the Consolidated Framework for Implementation Research. One-on-one interviews were conducted with a purposeful sampling of CTMs. Transcripts were analyzed using a rapid qualitative approach to identify salient themes.
Results:
Between August 19 and November 15, 2024, we conducted interviews with 14 CTMs. Analysis identified the following 4 themes: (1) social care is aligned with the goals of inpatient pediatric care; (2) CHWs are a valuable addition to a multidisciplinary inpatient team; (3) there are unique challenges of the inpatient setting, and electronic health record (EHR) integration has the potential to address these challenges; and (4) there is a need for better communication regarding outcomes across all aspects of the intervention to maintain CTM motivation.
Conclusions:
Inpatient pediatric CTMs view HRSNs programs as an extension of patient care. CTMs value the role of CHWs as part of the multidisciplinary team to support hospitalized families. Addressing unique inpatient challenges, optimizing EHR integration, and clear communication regarding programmatic impact on families may facilitate program adoption.
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