University of Missouri-Kansas City, Kansas City, Missouri 64108, USA.
Issues Ment Health Nurs. 2013 Sep;34(9):719-21. doi: 10.3109/01612840.2013.784386.
Approximately 20% of US children have a mental health condition, but only a fraction of that population receives care. Inequitable distribution of the limited number of child and adolescent psychiatric providers is partly to blame. Telepsychiatry offers a way to increase access to mental health services for those that are currently underserved. Published literature demonstrates high levels of patient and provider satisfaction for telepsychiatry with children. However, providers in these studies are primarily telepsychologists or telepychiatrists, not advanced practice registered nurses (APRNs). This article describes the services of a nurse practitioner providing pediatric telepsychiatry and gives the results from a parental satisfaction survey that evaluated both the modality and the provider. The survey, previously validated, used a 5-point Likert scale to assess strong disagreement to strong agreement on 12 statements followed by a section for comments and suggestions. Results of the survey showed high levels of parental satisfaction with the modality and the provider. Specific details on parental satisfaction with technical functioning, comfort level, and access to care, as well as patient characteristics and service types, are presented.
大约 20%的美国儿童存在心理健康问题，但只有一小部分人得到了治疗。造成这种情况的部分原因是儿童和青少年精神科医生数量有限，分布不均。远程精神病学为目前服务不足的人群提供了增加获得心理健康服务的途径。已发表的文献表明，儿童远程精神病学的患者和提供者满意度都很高。然而，这些研究中的提供者主要是远程心理学家或远程精神科医生，而不是执业护士（APRN）。本文描述了一名执业护士提供儿科远程精神病学服务的情况，并提供了一项家长满意度调查的结果，该调查评估了模式和提供者。该调查此前已通过验证，使用 5 点李克特量表对 12 个陈述进行评估，从强烈不同意到强烈同意，然后是评论和建议部分。调查结果显示，家长对模式和提供者的满意度很高。还介绍了与技术功能、舒适度和获得护理的机会以及患者特征和服务类型相关的具体父母满意度信息。
