了解寻求儿童急性外科护理的家庭层面决策:跨截面混合方法研究协议
Bria Hall1, Allison Tegge1, Cesia Cotache Condor2,3,4
1Virginia Tech Carilion School of Medicine, Roanoke, VA, United States of America.
PloS one
|June 24, 2024
概括
健康的社会决定因素在儿童手术护理方面显著影响家庭的决策,影响获得和结果. 了解这些经验对于减少医疗保健差异至关重要.
科学领域:
- 儿科外科手术 儿科外科手术
- 医疗服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 对健康的社会决定因素 (SDOH) 如何影响儿童手术护理中的家庭决策的理解有限.
- 需要确定影响儿童获得手术护理的关键家庭经验.
- 调查这些经历是否会导致护理延迟,并且在不同的人群中有所不同.
研究的目的:
- 确定家庭在获得儿科外科护理方面的关键经验.
- 确定这些经验对护理延迟的影响.
- 描述不同人口群体 (种族,种族,社会经济地位,农村) 家庭经验的变化.
主要方法:
- 对242名患有尾炎的儿童 (0-17岁) 的父母进行了前性,横截面,混合方法的设计.
- 使用调查 (ARCS,ACE,与健康相关的社会需求,识字选器) 和半结构面试.
- 混合方法分析,将定性主题与定量数据相结合,以建模家庭决策.
主要成果:
- 分析成年人对儿童症状的反应 (ARCS) 数据,以确定与尾炎穿孔率的关联 (主要结果).
- 卫生素养,不良童年经历 (ACE),SDOH,临床结果和家庭经历在不同人群中的比较.
- 确定影响儿童手术护理获取和结果的关键家庭经验.
结论:
- 通过SDOH影响,确定了获得儿科外科护理的关键家庭经验.
- 这些发现可能会为减轻儿童手术差异的策略提供信息.
- 了解家庭决策对于改善儿童手术护理的公平获取至关重要.
相关概念视频
01:26Traditional Level Of Health Care System
2.7K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.7K
01:17Ethical Dilemmas I
871
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
871
01:30Ethical Dilemmas II
988
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
988
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K