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
中科院分区:
文献类型:
--
作者:
Miller,MelissaK;Mollen,CynthiaJ;O'Malley,Donna;Owens,RheaL;Maliszewski,GenevieveA;Goggin,Kathy;Kelly,Patricia
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.
登录
查看更多内容
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
影响因子:
4.4
作者:
H. Conn;M. Berman;K. Kenyon;R. Langer;J. Gage
通讯作者:
J. Gage
影响因子:
4.4
作者:
Cintron,C;Covington,H;Kublin,CL
通讯作者:
Kublin,CL
影响因子:
4.8
作者:
N. A. Kefalides;J. D. Cameron;E. Tomichek;M. Yanoff
通讯作者:
M. Yanoff
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