为儿童进行测试,治疗,检查和干预制定基于权利的标准:使用协作,多阶段,多方法和多利益相关方的方法来建立共识
Lucy Bray1, Bernie Carter2, Joann Kiernan3
1Edge Hill University, Ormskirk, UK. Brayl@edgehill.ac.uk.
European journal of pediatrics
|August 11, 2023
概括
新的国际标准解决了临床程序期间对儿童的伤害. 这些基于权利的指导方针是通过多方利益相关者的共识开发的,提供了改善以儿童为中心的护理的工具,并挑战了关于扣留或限制儿童的假设.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 临床程序最佳实践 临床程序最佳实践
- 儿童权利在医学中的作用
背景情况:
- 尽管有证据表明以儿童为中心的护理,但儿童在临床过程中会受到伤害.
- 医疗保健专业人员面临的挑战是,将基于证据的实践应用于儿科手术护理.
- 现有的指导方针缺乏国际共识,对儿童的支持和限制持有.
研究的目的:
- 为儿科手术护理制定基于权利的国际标准.
- 建立对支持性和约束性具的定义和实践的共识.
- 为改善临床程序期间以儿童为中心的护理提供基于证据的工具.
主要方法:
- 代,多阶段,多方法和多利益相关方的共识建设方法.
- 两年 (2020-2022) 与203名儿童,78名家长和418名多学科专业人员进行了接触.
- 利用在线和面对面的方法,以确保广泛的利益相关者投入.
主要成果:
- 从多个利益相关方的角度制定了第一个国际,基于权利的程序护理标准.
- 达成国际共识,对儿童的支持性和约束性具的定义.
- 从各种利益相关方收集关于儿童程序护理需求的综合数据.
结论:
- 开发的标准代表了国际儿科手术护理的重大进步.
- 这些标准为医疗保健专业人员提供了可操作的工具,以加强以儿童为中心的做法.
- 这些发现鼓励人们转向优先考虑儿童的利益和权利,挑战传统的约束和约束方法.
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