在急诊室为青少年实施预防性健康干预的促进者:多中心定性分析
Emily Rutland1, Mona Bugaighis2, Andrea T Cruz3
1Columbia Vagelos College of Physicians and Surgeons, New York, New York, USA.
概括
在急诊室 (ED) 实施青少年的预防性医疗保健需要解决创新,工作流程,社区参与和提供者的支持. 关键因素包括让青少年参与,并无地整合干预措施,以减少耻辱和改善护理.
科学领域:
- 青少年健康 青少年健康
- 紧急医疗 紧急医疗
- 预防性健康干预措施
- 实施科学 实施科学
背景情况:
- 青少年经常利用急诊室 (ED) 获得医疗保健,通常是他们主要的护理来源.
- 紧急救护医院的战略地位是为大量青少年提供预防性卫生服务.
- 了解实施促进者对于在ED中提供有效的预防性护理至关重要.
研究的目的:
- 确定影响ED环境中青少年患者预防性医疗干预措施实施的因素.
- 探索医疗保健提供者 (HCP) 对提供预防服务的观点,以青少年在ED.
- 为加强在紧急情况下为青少年提供预防护理的策略提供信息.
主要方法:
- 一个多中心的定性分析,涉及38名ED医疗保健提供者 (医生,护士,护士从业人员,医生助理) 的半结构面试.
- 采访探讨了HCP对青少年预防性健康干预措施的态度和信念.
- 数据分析利用实施研究综合框架 (CFIR) 确定实施主题.
主要成果:
- 在五个CFIR领域出现了十个主题,突出了关键的实施因素.
- 创新特点:为青少年参与设计干预措施.
- 内部设置:将干预措施整合到ED工作流程中,最大限度地降低提供者的负担.
- 外部设置:社区参与,与机构任务保持一致.
- 个人:确定内部冠军.
- 实施过程:早期利益相关者参与,耐心,普遍针对患者,以减少耻辱.
结论:
- 成功实施预防性健康干预措施,使青少年在EDs需要一个全面的方法跨越多个领域.
- 解决与干预设计,工作流集成,提供者支持和社区参与相关的因素至关重要.
- 这些发现为加强在急诊室向青少年提供预防性卫生服务提供了可操作的见解.
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