产前阿片类药物暴露儿童的护理人员的共享决策工具:试点和可接受性研究
Sara Arter, Elsie Bush1, Katie Clark2
1Division of Occupational Therapy and Physical Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
概括
这项试点研究发现,共享决策工具 (SDMT) 对产前阿片类药物暴露儿童的提供者和照顾者来说是可以接受的. SDMT有助于标准化关于发展问题的沟通,优先考虑护理人员的需求.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 产前阿片类药物暴露可能导致儿童的发育问题.
- 有效的沟通和共同决策对于支持这些儿童及其家人至关重要.
- 现有的工具可能无法充分满足这一群体的特定需求.
研究的目的:
- 评估供应商对共享决策工具 (SDMT) 的接受度.
- 根据照顾者报告,识别和优先考虑产前阿片类药物暴露的儿童的发育问题.
- 评估SDMT在加强提供者和护理人员之间共享决策方面的潜力.
主要方法:
- 试点和可接受性研究设计.
- 从5个医疗保健/早期干预提供者和83名护理人员收集数据.
- 描述性统计分析发展问题和提供者对SDMT的反.
主要成果:
- 在各个年龄组中,沟通是最常见的发育问题.
- 不注意/冲动性和问题行为也引起了重大关注.
- 提供商报告说,将SDMT集成到他们的工作流中具有很高的可接受性.
结论:
- SDMT是一个有前途的工具,可以改善产前阿片类药物暴露的儿童的参与和沟通.
- 围绕发展问题和护理人员优先事项进行讨论的标准化可以改善护理.
- 试点发现将为未来的心理测量验证提供SDMT修改的信息.
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