Providing adolescent sexual health care in the pediatric emergency department: views of health care providers.

Providing adolescent sexual health care in the pediatric emergency department: views of health care providers.
复制标题

在儿科急诊科提供青少年性保健:医疗保健提供者的观点。

DOI:
10.1097/pec.0000000000000076
复制
发表时间:
2014
影响因子:
1.4
通讯作者:
Kelly,Patricia
Kelly,Patricia
中科院分区:
医学4区
文献类型:
--
作者:
Miller,MelissaK;Mollen,CynthiaJ;O'Malley,Donna;Owens,RheaL;Maliszewski,GenevieveA;Goggin,Kathy;Kelly,Patricia

文献摘要

参考文献

相似文献

ObjectivesThe的目的是探讨卫生保健提供者(HCP)的态度和信念,在急诊科(艾德)提供青少年性保健,并确定障碍健康教育者为基础的intervention.MethodsWe进行了重点,半结构化的采访HCPs从艾德和青少年诊所的儿童医院。访谈指南是基于计划行为理论及其结构:态度,主观规范,感知行为控制,并打算促进护理。我们使用目的抽样和招生继续,直到主题饱和。访谈被记录和转录。成绩单进行了分析,使用定向content analysis.ResultsTwenty-nine采访饱和。参与者包括12名医生、12名护士、3名执业护士和2名社会工作者;大多数(83%)为女性。促进护理的意图受到HCP对(1)其专业角色,(2)艾德的角色(重点与扩展护理)和(3)患者安全需求的看法的影响。卫生保健提供者确定了3个实践参考:患者/家属,同行和管理人员,以及专业组织。由于时间限制、保密问题和舒适度,卫生保健提供者对护理提供的行为控制有限。有一个健康教育工作者的整体支持,许多人认为,教育工作者可以帮助克服障碍,以carry.ConclusionsDespite独特的挑战,艾德,HCP支持的干预措施,并认为健康教育工作者作为一种资源,以改善青少年的护理和服务。未来的研究应评估在这种情况下的健康教育者的功效和成本。
ObjectivesThe purpose of this study was to explore health care providers’(HCPs’) attitudes and beliefs about adolescent sexual health care provision in the emergency department (ED) and to identify barriers to a health educator–based intervention.MethodsWe conducted focused, semistructured interviews of HCPs from the ED and adolescent clinic of a children’s hospital. The interview guide was based on the theory of planned behavior and its constructs: attitudes, subjective norms, perceived behavioral control, and intention to facilitate care. We used purposive sampling and enrollment continued until themes were saturated. Interviews were recorded and transcribed. Transcripts were analyzed using directed content analysis.ResultsTwenty-nine interviews were required for saturation. Participants were 12 physicians, 12 nurses, 3 nurse practitioners, and 2 social workers; the majority (83%) were female. Intention to facilitate care was influenced by HCP perception of (1) their professional role,(2) the role of the ED (focused vs expanded care), and (3) need for patient safety. Health care providers identified 3 practice referents: patients/families, peers and administrators, and professional organizations. Health care providers perceived limited behavioral control over care delivery because of time constraints, confidentiality issues, and comfort level. There was overall support for a health educator, and many felt the educator could help overcome barriers to care.ConclusionsDespite challenges unique to the ED, HCPs were supportive of the intervention and perceived the health educator as a resource to improve adolescent care and services. Future research should evaluate efficacy and costs of a health educator in this setting.
培养物中牛角膜内皮细胞合成的胶原蛋白类型分析。
DOI: 10.1042/bj1980707
发表时间: 1981
期刊: The Biochemical journal
影响因子: --
作者:
E. A. Sankey;F. Bown;L. Morton;D. Scott;M. Barnes
通讯作者: M. Barnes
基质血管化可防止角膜溃疡。
DOI: --
发表时间: 1980
影响因子: 4.4
作者:
H. Conn;M. Berman;K. Kenyon;R. Langer;J. Gage
通讯作者: J. Gage
兔角膜基质的形态发生。
DOI: --
发表时间: 1983
影响因子: 4.4
作者:
Cintron,C;Covington,H;Kublin,CL
通讯作者: Kublin,CL
兔角膜内皮体外生物合成基底膜胶原蛋白。
DOI: --
发表时间: 1976
影响因子: 4.8
作者:
N. A. Kefalides;J. D. Cameron;E. Tomichek;M. Yanoff
通讯作者: M. Yanoff
角膜疤痕形成中的胶原交联。
DOI: 10.1016/0005-2795(75)90335-9
发表时间: 1975
期刊: Biochimica et biophysica acta
影响因子: --
作者:
D. J. Cannon;C. Cintron
通讯作者: C. Cintron