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在托儿所照顾住院儿童的照顾:提供者培训,准备和实践
Rosalie M Sleppy1, Breanna D Watson2, Pamela K Donohue1,2
1Johns Hopkins University School of Medicine, Baltimore, Maryland.
Hospital pediatrics
|August 25, 2023
概括
照顾寄养儿童和青少年 (CYFC) 的儿科提供者往往缺乏培训,依靠社会工作者. 改善护理需要为这些脆弱的年轻人提供更好的教育和健康IT干预措施.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 寄养儿童和青少年 (CYFC) 显示出高度利用医疗保健,特别是住院服务.
- 了解照顾CYFC的住院医疗服务提供者的经验对于改善医疗服务至关重要.
研究的目的:
- 探索在寄养家庭照顾儿童和青少年时的住院提供者经验.
- 确定在医院环境中优化CYFC护理的挑战和有效策略.
主要方法:
- 在6家中大西洋医院进行了半结构化采访,对38名住院儿科提供者进行了采访.
- 包括医院医生,高级实践提供者,注册护士,社会工作者和病例经理.
- 应用传统的内容分析对面试成绩单,以确定关键主题.
主要成果:
- 大多数提供商 (90%) 每月与CYFC互动.
- 关键的挑战包括缺乏正式培训,对寄养系统的知识有限,难以识别患者,获得同意和文件.
- 提供者强调了社会工作者 (SW) 的关键作用,并建议增加SW能力,加强提供者培训,并标准化电子医疗记录 (EMR) 文档.
结论:
- 照顾CYFC的住院提供者面临着独特的医疗,社会和法律复杂性,培训不足.
- 依赖社会工作者凸显了提供者准备的差距.
- 有针对性的教育计划和医疗信息技术解决方案对于更好地为住院提供者提供CYFC的需求至关重要.
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