将基于证据的早期关系健康计划整合到儿科初级保健中:一种混合方法研究
Yu Chen1, Elizabeth B Miller2, Janae Kuttamperoor1
1Department of Pediatrics, NYU Grossman School of Medicine, 227 E 30(th) St., New York, NY, USA 10016.
Academic pediatrics
|February 23, 2026
概括
将早期关系健康 (ERH) 的基于证据的计划 (EBP) 整合到儿科初级保健 (PPC) 中是有前途的. 关键策略包括文化响应性护理和社区伙伴关系,以克服资源挑战.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 儿科医疗保健 儿科医疗保健
背景情况:
- 儿科初级保健 (PPC) 是整合基于证据的计划 (EBP) 以改善早期关系健康 (ERH) 的关键设置.
- 成功的整合需要了解PPC设置中的实施障碍,促进者和有效策略.
- 现有研究强调,需要量身定制的方法,将ERH干预措施纳入常规儿科护理.
研究的目的:
- 识别障碍,促进者和战略,以在PPC环境中实施以ERH为重点的EBP.
- 使用定量和定性方法评估诊所对ERH EBP整合的准备程度.
- 在儿科初级保健中为ERH提供有效实施模型的开发提供信息.
主要方法:
- 使用实施研究综合框架 (CFIR) 的混合方法方法.
- 全国范围内的PPC人员调查 (n=126) 评估诊所的准备,资源和需求.
- 焦点小组 (n=18) 探索实施策略,主题分析.
主要成果:
- 诊所表现出强有力的领导支持和资源利用,但面临着结构性和人力资源挑战.
- 临床工作人员报告说,与其他角色相比,他们对整合的准备程度更高.
- 关键策略包括促进文化响应性护理,团队凝聚力,标准化流程,灵活模式和社区伙伴关系.
结论:
- PPC诊所可以通过解决资源限制和利用已识别的促进者来加强ERH的EBP整合.
- 有效的策略包括文化响应,团队建设,标准化但灵活的实施和社区协作.
- 调查结果支持优化综合服务,以实现更广泛的覆盖范围和改善儿童和家庭福祉.
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