在获得儿童手术护理期间的家庭决策:定性分析和概念框架
Bria Hall1, Marie Rhoads1, Mallory Happ2
1Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
Journal of pediatric surgery
|November 29, 2025
概括
家庭的决定对儿童获得手术护理的机会产生重大影响. 影响家庭何时何地寻求尾炎治疗的关键因素包括沟通,症状进展和医疗保健系统因素.
科学领域:
- 儿科手术 儿科手术
- 医疗保健服务研究 医疗服务研究
- 家庭决策 - - 家庭决策
背景情况:
- 了解家庭决策对于改善儿童手术护理的准入至关重要.
- 我们对家庭动态如何影响儿童手术条件的护理需求的洞察力有限.
研究的目的:
- 检查家庭决策过程在获得外科护理的儿童尾炎.
- 在这种情况下,开发一个新的家庭决策的概念模型.
主要方法:
- 前性,混合方法研究,涉及27名护理人员采访 (包括12名儿童).
- 面试数据的定性主题分析.
- 来自美国两家三级医院收集的数据.
主要成果:
- 家庭经历了关于护理时间和地点的决策冲突.
- 寻求护理的关键驱动因素包括沟通,症状进展和行为.
- 系统的可用性,感知严重程度,成本和近距离影响了位置决定.
- 语言和先前的经验改变了决策.
结论:
- 确定了影响家庭决定获得儿童急性手术护理的关键驱动因素.
- 开发了一种新的概念模型,用于指导旨在改善儿童手术护理的干预措施.
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