在不断变化的背景下确定加拿大PICU家庭存在政策的优先事项:定性焦点组研究
概括
儿科重症监护室 (PICU) 需要改善家庭存在政策. 主要优先事项包括两个人的床边接入,兄弟姐妹的存在,以及在社区投入下制定的灵活,公平的政策.
科学领域:
- 儿科重症监护 儿科重症监护
- 卫生政策 卫生政策
- 家庭为中心的护理.
背景情况:
- 父母的存在对于儿童重病重症病房 (PICU) 的儿童健康至关重要.
- 目前在加拿大PICU的家庭存在政策不一致,在开发和实施方面存在差距.
- 在日常和紧急情况下,需要确定家庭存在政策的优先事项.
研究的目的:
- 确定患者,家庭,临床医生和政策制定者在PICU中的家庭存在政策的优先事项.
- 在基线和紧急情况下 (例如,流行病) 解决政策需求.
主要方法:
- 在2023年1月至8月期间,与儿科重症监护室 (PICU) 的青年,家庭,临床医生和政策制定者进行了聚焦小组.
- 利用理论领域框架 (TDF) 和诱导分析来探索与家庭存在政策相关的关键主题.
主要成果:
- 七个重点小组进行了,包括4名青年,7名家庭成员,14名临床医生和4名政策制定者.
- 几乎所有TDF领域都出现了重要的主题,分为政策制定,实施和未来的教训.
- 主要发现强调了在家庭存在政策中需要透明度,适应性,沟通和定义的角色.
结论:
- 确定家庭存在政策的优先事项包括允许两个人在床边和允许兄弟姐妹的存在.
- 强调需要通过多样化的社区参与制定灵活,公平的政策.
- 这些发现可以为改善儿童重症监护机构的家庭存在政策的制定提供信息.
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