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在健康儿童检查期间改善高风险行为查的机会
Hannah M Ederle1, Kallie M Finley, Michele E Reisinger
1Washburn University School of Nursing, Topeka, Kansas.
概括
标准化青少年健康儿童检查 (WCEs) 改善了高风险行为查. 执业护士是实施基于证据的实践,促进青少年健康和预防慢性疾病的关键.
科学领域:
- 青少年健康 青少年健康
- 预防性医学是一种预防性医学.
- 改善医疗保健的质量.
背景情况:
- 在健康儿童检查 (WCE) 期间,执业护士对于青少年高风险行为查至关重要.
- 与全国平均水平相比,中西部青少年每年进行预防性医疗检查的比例较低.
- 在预防性护理中的低最佳参与影响了青少年的健康结果.
研究的目的:
- 评估医疗保健提供者对青少年WCE的信念和临床流程.
- 评估中西部两个初级保健诊所11-17岁青少年的WCE质量.
- 确定青少年WCE过程中的缺陷.
主要方法:
- 混合方法质量改进试点研究.
- 来自电子健康记录和查询报告的定量数据.
- 从与医疗保健提供者的焦点小组访谈中获得的定性数据.
主要成果:
- 在WCE期间缺乏标准化的评估,导致高风险行为查的碎片化.
- 在青少年WCE中发现的过程缺陷.
- 干预措施包括对数据发现的利益相关者教育.
结论:
- 执业护士应领导青少年WCE的质量改善计划.
- 在WCE中标准化高风险行为查是促进健康的基础.
- 实施基于证据的指导方针可以改善青少年和成人慢性疾病的预防.
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