从提供者的角度看,COVID-19期间医疗复杂性的儿童护理之旅:一种定性研究
Onur Asan1, Farah Elkourdi2, Ilse Super2
1Department of Systems and Enterprises, Stevens Institute of Technology, 1 Castle Point Terrace, Hoboken, NJ, 07030, USA. oasan@stevens.edu.
随着COVID-19大流行,医疗复杂性儿童 (CMC) 的医疗保健面临重大挑战,影响了医疗护理的获取和连续性. 医疗保健提供者进行了调整,突出了对以家庭为中心的方法的需求,并改善了对弱势儿科人口的远程医疗整合.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 公共卫生危机 公共卫生危机
- 复杂的护理管理.
背景情况:
- 患有医疗复杂性 (CMC) 的儿童面临着独特的健康挑战,需要专门的多学科护理.
- 随着COVID-19大流行,已经建立的医疗保健实践受到破坏, CMC及其家属受到不成比例的影响.
- 了解这些流行病引起的挑战对于完善护理策略和确保CMC患者安全至关重要.
研究的目的:
- 探索COVID-19大流行对患有医疗复杂性 (CMC) 的儿童护理旅程的影响.
- 收集医疗保健提供者的见解,了解在疫情期间向CMC提供护理所面临的挑战.
- 为未来的医疗保健策略提供信息,以改善CMC护理,患者安全和提供者支持.
主要方法:
- 采用半结构面试的定性研究,对24名医疗保健提供者 (医院医生,专家,儿科医生,家庭护士) 进行了采访,他们照顾CMC.
- 在2023年5月至12月期间进行的采访,以音频录制为准确的转录和分析.
- 用代码书方法进行感应性主题分析,用于识别关键主题和子主题.
主要成果:
- 从医疗保健提供者的角度来看,COVID-19大流行期间的CMC护理挑战出现了十个主要主题.
- 主题被分为: (1) 护理的获取和连续性, (2) 家庭,员工和协作护理,以及 (3) 感染风险和预防策略.
- 分析揭示了系统的漏洞,以及医疗保健提供者和家庭在应对与流行病相关的干扰时的弹性.
结论:
- 随着COVID-19的流行,医疗复杂性儿童 (CMC) 的护理面临着重大挑战.
- 调查结果强调了以家庭为中心的护理模式的重要性,并加强了远程医疗服务的整合.
- 对于管理CMC护理的医疗保健提供者来说,有必要建立强大的支持系统,特别是在公共卫生危机期间.
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