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为患有创伤性脑损伤的西班牙裔儿童实施双语和双文化导航计划
Celeste N Garcia1,2, Magaly Ramirez1, Tasnia Alam2
1Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, Washington, USA.
Brain injury
|March 28, 2025
概括
针对受创性脑损伤 (TBI) 的西班牙裔儿童实施双语,双文化患者导航是有前途的. 适应能力和导航技能有助于实施,而政策和培训差距则构成了护理准入的障碍.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 儿科神经学 儿科神经学
背景情况:
- 创伤性脑损伤 (TBI) 不成比例地影响西班牙裔儿童,导致严重伤害和较差的结果.
- 患者导航在西班牙裔人口中改善了健康结果,但文化定制的儿科TBI计划很少.
- 了解文化特定的TBI导航的实施因素对于减少健康差异至关重要.
研究的目的:
- 检查促进者和障碍在实施双语和双文化导航计划的护理人员的西班牙裔儿童TBI.
- 确定影响文化定制患者导航成功采用的关键上下文因素.
主要方法:
- 与12名参与第1次脑损伤教育和门诊导航 (1st BIEN) 计划的人员进行了深入采访.
- 以实施研究综合框架 (CFIR) 为指导的有针对性的内容分析.
主要成果:
- 促进者:程序适应性,导航员双语/双文化技能,与组织价值观的协调.
- 障碍:限制性的医疗保健政策,不完整的医疗记录,不充分的行为支持培训.
结论:
- 优化患者导航的实施可以提高TBI的西班牙裔儿童的护理机会.
- 解决已识别的障碍对于减少儿科TBI结果差异至关重要.
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