在上海的儿科环境中实施加拿大共享护理ADHD计划的障碍和促进者:实施研究方法的综合框架
Sayna Bahraini1, Alexander R Maisonneuve1,2, Danping Wu3,4
1Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada.
BMC health services research
|May 2, 2024
概括
在中国实施加拿大注意力缺陷多动症 (ADHD) 共享护理途径面临知识和资源有限等挑战. 促进者包括利益相关者的动机和程序兼容性,以更好地诊断和治疗ADHD.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 实施科学 实施科学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 在中国,大多数患有注意力缺陷多动症 (ADHD) 的儿童无法获得适当的诊断和治疗.
- 迫切需要将国际医疗保健模式适应当地环境.
研究的目的:
- 确定实施加拿大ADHD共享护理途径计划的挑战和促进者.
- 为上海地区的儿科环境调整该计划.
主要方法:
- 有目的的半结构焦点小组,由13名医疗保健从业者组成.
- 使用实施研究综合框架 (CFIR) 对数据进行主题分析.
主要成果:
- 障碍包括:医生知识有限,资源不足 (人员,时间,药物),国际干预实施困难,耻辱和药物采购问题.
- 促进者包括:利益相关者的强烈动机,项目利益相关者价值的兼容性,感知到的项目好处 (标准化,初级保健参与) 和强大的机构与学校关系.
结论:
- 成功实施需要医疗保健提供者培训,文化节目适应和提高公众意识以减少耻辱感.
- 清晰的项目管理,明确的团队角色和支持性准则对于有效实施ADHD护理途径至关重要.
相关概念视频
Attention-Deficit/Hyperactivity Disorder
56
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
56
Community Based Intervention
41
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
41
Modeling in Therapy
71
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
71


