推实施后的调整,以优化儿童初级保健中的家庭导航:与家长和导航者的定性研究
Julia Levinson1, Emily Hickey2, Plyce Fuchu3
1Boston Medical Center, Boston, USA.
BMC primary care
|June 16, 2023
概括
家庭导航 (FN) 是一种基于证据的干预措施,旨在减少护理差异. 家长和导航者建议进行调整,以提高FN对服务不足的家庭的有效性,重点是干预内容和实施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
- 健康 公平 卫生 公平
背景情况:
- 家庭导航 (FN) 是一种基于证据的干预措施,通过量身定制的支持来减少获得护理的差异.
- 无线网络的有效性受到环境和个体变量的影响,需要量身定制的方法.
- 了解拟议的适应是为各种人群提炼FN的关键.
研究的目的:
- 探索接受者和提供者对家庭导航 (FN) 提出的适应方案.
- 确定干预改进的具体领域,以提高FN的有效性.
- 根据文化和背景来制定适当的导航计划.
主要方法:
- 在自闭症诊断服务的FN随机临床试验中进行了嵌套的定性研究.
- 使用FRAME框架与家长 (n=21) 和导航员 (n=7) 进行的关键信息人采访.
- 用框架引导的快速分析来对适应情况进行分类.
主要成果:
- 家长和导航者提出了38个适应在四个领域:内容,背景,培训/评估,实施/扩大规模.
- 最常见的建议侧重于干预内容 (例如,更长的持续时间,家长教育) 和实施 (例如,增加访问).
- 参与者对"家庭导航"的干预表达了极为积极的反.
结论:
- 该研究提供了适应和完善家庭导航干预的具体领域.
- 建议可以指导改善现有导航计划,并为服务不足的人群开发新的导航计划.
- 适应对健康公平至关重要,但需要对临床和实施效果进行测试.
相关概念视频
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Documentation in Long-Term and Home Healthcare Setting
932
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
932
Nursing Implementation
5.1K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.1K
Planning Nursing Care I
4.6K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.6K
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.3K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.3K
Nursing Clinical Information System
826
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
826


