Neill Sarah J, Jones Caroline H D, Lakhanpaul Monica, Roland Damian T, Thompson Matthew J
School of Health, University of Northampton, Park Campus, Northampton, UK.
Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford, UK.
Health Expect. 2015 Dec;18(6):3044-56. doi: 10.1111/hex.12289. Epub 2014 Oct 20.
Acute illness is a universal experience in early childhood. Parents find it difficult to determine whether or not their child requires medical care and seek information to inform their decision making. Little is known about parents' information seeking behaviour and what helps or hinders their decision making.
This study aimed to explore parents' use of information resources during decision making in acute childhood illness at home.
DESIGN/METHOD: This exploratory qualitative study used focus groups and interviews to collect data from parents of children under 5 years of age.
Twenty-seven parents were recruited in the East Midlands, UK, in South Asian and Gypsy/Travelling communities, a Children's Centre and a private sector day nursery.
Parents' pre-consultation information seeking was dominated by the internet, albeit with limited success. Parents liked easy to access, professionally validated and simple messages with access to more detailed information. Some parents always sought information through personal contact, whilst others did so when independent information seeking failed. When consulting a healthcare professional, parents liked to be given information to refer to later, although the information received varied. Importantly, neither hard copy nor the internet was accessible for parents with low levels of literacy.
Although there is a wealth of information parents can access independently, our findings indicate a need for easy access to clearly signposted, professionally validated resources and available in a range of formats provided through different delivery systems. One size does not fit all.
急性疾病在幼儿期是普遍存在的经历。家长们很难确定自己的孩子是否需要医疗护理,并寻求信息以辅助他们做决策。对于家长的信息寻求行为以及哪些因素有助于或阻碍他们的决策,我们了解得很少。
本研究旨在探讨家长在决定在家中护理患有急性疾病的儿童时对信息资源的使用情况。
设计/方法:这项探索性定性研究采用焦点小组和访谈的方式,收集5岁以下儿童家长的数据。
在英国东米德兰兹地区的南亚和吉普赛/游民社区、一个儿童中心和一家私立日托幼儿园招募了27名家长。
家长在咨询前的信息寻求主要依赖互联网,尽管成效有限。家长们喜欢易于获取、经过专业验证且简单的信息,并能获取更详细的内容。一些家长总是通过个人联系来寻求信息,而另一些家长则在独立寻求信息失败时才这样做。在咨询医疗保健专业人员时,家长希望能得到可供日后参考的信息,尽管收到的信息各不相同。重要的是,识字水平较低的家长无法获取纸质资料和互联网信息。
尽管家长可以独立获取大量信息,但我们的研究结果表明,需要提供易于获取、有明确标识、经过专业验证且通过不同传播系统以多种格式提供的资源。一刀切并不适用。