确定和优先考虑与利益相关方的未来干预措施,以改善苏格兰,英国的儿科急诊护理途径:一项混合方法研究
Emma King1, Emma France2, Cari Malcolm3
1Nursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, UK emma.king@stir.ac.uk.
家长和卫生专业人员寻求以患者为中心,以社区为基础的干预措施,作为当前儿科紧急护理的替代方案. 主要优先事项包括加强社区儿科技能,社区评估和整合儿童.
科学领域:
- 提供儿科医疗保健服务.
- 医疗服务研究 医疗服务研究
- 让公众和患者参与研究.
背景情况:
- 目前非计划的儿科急诊护理途径面临挑战.
- 需要从家长和卫生专业人员的角度确定替代干预措施.
- 公众和患者参与 (PPI) 对于开发有效的医疗保健解决方案至关重要.
研究的目的:
- 确定和优先考虑非预定儿科急诊的干预措施.
- 收集家长和卫生专业人员关于替代护理途径的观点.
- 为发展以患者为中心,以社区为基础的儿科医疗保健提供信息.
主要方法:
- 一个连续的混合方法研究 (FLAMINGO) 涉及紧急儿科住院的数据链接 (2015-2017).
- 与48名卫生专业人员和21名急需短期住院住院的家长进行了定性访谈.
- 整个过程中,公众和患者参与,最终以利益相关者干预优先级事件达到顶峰.
主要成果:
- 七个潜在的干预措施被确定并由利益相关者优先考虑.
- 首要任务包括增强社区儿科技能,社区内对不健康儿童进行评估,以及创建整体儿童中心.
- 实施障碍包括资源,人员和农村.
结论:
- 卫生专业人员和家庭希望以患者为中心,以社区为基础的干预措施.
- 优先干预的重点是改善社区环境中的护理服务.
- 未来的儿科急诊护理模型应该与患者和家庭识别的结果保持一致.
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