A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research.
A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research.
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DOI：
10.1007/s10995-023-03641-4
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发表时间：
2023-06
影响因子：
2.3
通讯作者：
Platt, Rheanna
中科院分区：
文献类型：
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作者：
Gresh, Ashley;Wilson, Deborah;Fenick, Ada;Patil, Crystal L;Coker, Tumaini;Rising, Sharon Schindler;Glass, Nancy;Platt, Rheanna
运用范围回顾的方法，以现有的团体儿童护理证据为基础，构建一个概念框架，指导未来的实践和研究。我们使用Arksey和O‘Malley(2005)的六个阶段进行了范围审查。我们使用实施研究综合框架和改善卫生保健的四重目标的结构来指导概念框架的构建。由此产生的概念框架是对团体儿童保育的关键概念的综合，首先呼吁重新设计儿童保育系统，以改善结果，同时承认构建支持该模型的理论基础的理论前提。团体健康儿童护理的投入包括卫生系统背景；行政/后勤；临床环境；团体护理诊所团队；社区/病人人口；以及课程编制和培训。团体儿童保育的核心组成部分包括结构(例如，团体规模、促进者)、内容(例如，健康评估、服务联系)。和过程(例如，互动学习和社区建设)。我们发现了医疗保健四重目标的所有四个维度的临床结果。我们的概念框架可以指导模型的实施，并确定可用于协调模型评估和研究的几个结果。未来的研究和实践可以将概念框架用作标准化模型实施和评估的工具，并生成证据，为未来的医疗政策和实践提供信息。在这个问题上已经知道了些什么？团体健康-儿童护理(GWCC)与改善的医疗利用(例如，出勤率、免疫接种率)、父母结果(例如，心理健康、满意度)和临床医生结果(例如，自我效能)相关。这项研究增加了什么？使用范围审查方法生成了全球水资源协调委员会的概念框架，该框架可用作指导全球水资源协调委员会实施、评估和研究的标准化做法的指南。
To use scoping review methods to construct a conceptual framework based on current evidence of group well-child care to guide future practice and research. We conducted a scoping review using Arksey and O’Malley’s (2005) six stages. We used constructs from the Consolidated Framework for Implementation Research and the quadruple aim of health care improvement to guide the construction of the conceptual framework. The resulting conceptual framework is a synthesis of the key concepts of group well-child care, beginning with a call for a system redesign of well-child care to improve outcomes while acknowledging the theoretical antecedents structuring the rationale that supports the model. Inputs of group well-child care include health systems contexts; administration/logistics; clinical setting; group care clinic team; community/patient population; and curriculum development and training. The core components of group well-child care included structure (e.g., group size, facilitators), content (e.g., health assessments, service linkages). and process (e.g., interactive learning and community building). We found clinical outcomes in all four dimensions of the quadruple aim of healthcare. Our conceptual framework can guide model implementation and identifies several outcomes that can be used to harmonize model evaluation and research. Future research and practice can use the conceptual framework as a tool to standardize model implementation and evaluation and generate evidence to inform future healthcare policy and practice. What is already known on this subject? Group well-child care (GWCC) is associated with improved healthcare utilization (e.g., attendance, immunization rates), parent outcomes (e.g., psychological well-being, satisfaction), and clinician outcomes (e.g., self-efficacy). What this study adds? Scoping review methodology was used to generate a conceptual framework of GWCC which can be used as a guide to standardize practices for implementation, evaluation, and research in GWCC.