支持医疗保健专业人员与家长讨论孩子的体重:一种定性研究
Miranda Pallan1, Frances Mason1, Helen M Parretti2
1Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham.
概括
医疗保健专业人员面临的障碍是与家长讨论孩子的超重. 解决结构性问题和提高从业人员的技能是克服这些挑战和支持家庭的关键.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 医疗保健专业发展
背景情况:
- 初级保健和社区卫生保健专业人员 (HCP) 在解决儿童超重问题方面是至关重要的.
- 卫生保健工作者在与家长就孩子的体重进行对话时报告了担忧和障碍.
- 了解这些因素对于制定有效的医疗保健专家支持策略至关重要.
研究的目的:
- 探索医疗保健工作者与家长讨论孩子体重的经验.
- 在初级和社区护理环境中识别影响这些对话的障碍和促进者.
主要方法:
- 在英格兰,涉及全科医生 (GPs),初级护理护士 (PNs) 和学校护士 (SNs) 的定性研究.
- 与一般医生和PN进行半结构面试;与SN进行焦点小组.
- 用于数据分析的框架方法,用简短的图片来刺激讨论.
主要成果:
- 发现的障碍包括结构性/组织性,与HCP相关的,以及与家长/家庭相关的因素.
- 促进者包括结构性变化 (例如,专用约会,数据访问),有效的HCP方法和增强的HCP知识/技能.
- 参与者包括13名全科医生,7名临床医生和20名临床医生.
结论:
- 显著的障碍阻碍了医疗保健工作者与家长讨论孩子的超重问题.
- 要克服这些障碍,结构性变化和改善医疗保健人员的知识和技能至关重要.
- 需要有针对性的干预措施,以支持医疗保健人员管理儿童超重的讨论.
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