标签之外:命名和框架如何影响儿科息护理接受率
Dahlia A Brasuel1, Madeline L Johnson2, Kathryn A Ritchie1
1Department of Pediatrics (D.A.B., K.A.R., C.B.R.), Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Journal of pain and symptom management
|November 14, 2025
概括
儿科息护理 (PPC) 的名称变更和终身框架没有影响父母的参与. 潜在的因素,如感知到的儿童福利和父母的痛苦是PPC利用的关键障碍.
科学领域:
- 儿科卫生保健服务 儿科卫生保健服务
- 抚慰性护理研究研究
- 医疗服务研究 医疗服务研究
背景情况:
- 儿科息护理 (PPC) 没有得到充分利用,部分原因是错误的看法,认为它仅用于终身护理.
- 这些误解可能会导致家长的痛苦和不愿意参与PPC服务.
- 了解这些误解的起源对于改善获得PPC至关重要.
研究的目的:
- 调查儿科息护理服务的命名和框架如何影响家长的感知和接受力.
- 评估程序名称变化的影响 (例如",息护理"与"儿科高级护理团队[PACT]) 和终身提到父母参与的意愿.
- 确定影响家长对PPC服务看法的潜在因素.
主要方法:
- 通过亚马逊机械土耳其 (MTurk) 招募了363名美国父母的全国样本.
- 参与者被随机分配到阅读介绍PPC团队的简介,其中包括各种名称和生命终结语言.
- 收集的数据包括人口统计,对PPC的看法和参与意愿,使用推断统计和探索因素分析 (EFA) 进行分析.
主要成果:
- 无论是改变团队名称还是排除终生语言,都没有显著影响PPC服务的接收.
- 探索性因素分析揭示了影响知觉的两个主要因素:"最佳利益" (感知好处) 和"父母痛苦" (感觉压倒).
- 这两个因素占了家长认知差异的76.46%.
结论:
- 父母对PPC的看法是由潜在的因素所塑造的,包括感知到的儿童福利和父母的痛苦,这些都充当了转介障碍.
- 仅仅专注于重新命名PPC团队或更改终生提及的战略不足以克服这些障碍.
- 未来的干预措施应该旨在直接解决父母的困境,并在引入PPC服务时清楚地传达孩子的最佳利益.
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