DiDomizio P Galen, Gillard Ann
Harriet Lane Pediatric Residency Program at the Johns Hopkins Children's Center, Baltimore, United States.
The Hole in the Wall Gang Camp, Ashford, CT, United States.
J Pediatr Nurs. 2018 May-Jun;40:37-46. doi: 10.1016/j.pedn.2018.03.008. Epub 2018 Mar 17.
A growing body of literature exists regarding medical specialty camps for children. However, very little of the research focuses on the perspectives of healthcare providers. This study explored perceptions of pediatric healthcare providers on a medical specialty camp for children.
Interviews with five volunteer physicians and five nurses were conducted and analyzed using inductive content analysis.
Results showed that healthcare providers perceived camp to be a positive influence on campers' normalization and healthcare ownership, and to strengthen patient-provider relationships. Providers contextualized their assertions by discussing the settings of camp and of patients. However, providers also identified multiple barriers perceived as limiting a camp experience's ability to create lasting changes in patients' attitudes or behaviors.
While healthcare providers in this study perceived camp as being a positive opportunity for patients, the potential for long-lasting effects was seen to be hindered by factors external to the camp and changes in patients' attitudes or behaviors can be difficult to ascribe to the camp experience.
Healthcare providers can reinforce and extend positive health behavior messages from camp at follow-up appointments. Adding inquiries about camp attendance and experiences to patients' visits can provide healthcare providers with additional insights about patients. Health outcomes before and after camp could be measured to assess change. Camps can send home patient protocols on successes and challenges.
关于儿童医学专科营地的文献越来越多。然而，很少有研究关注医疗服务提供者的观点。本研究探讨了儿科医疗服务提供者对儿童医学专科营地的看法。
对五名志愿医生和五名护士进行了访谈，并采用归纳性内容分析法进行分析。
结果表明，医疗服务提供者认为营地对营员的正常化和医疗自主意识有积极影响，并能加强医患关系。提供者通过讨论营地和患者的背景来阐述他们的观点。然而，提供者也指出了多个障碍，这些障碍被认为限制了营地体验在改变患者态度或行为方面产生持久变化的能力。
虽然本研究中的医疗服务提供者认为营地对患者来说是一个积极的机会，但营地之外的因素似乎阻碍了持久影响的可能性，而且患者态度或行为的变化很难归因于营地体验。
医疗服务提供者可以在后续预约中强化并扩展来自营地的积极健康行为信息。在患者就诊时增加对参加营地情况和体验的询问，可以为医疗服务提供者提供有关患者的更多见解。可以测量营地前后的健康结果以评估变化。营地可以将患者的成功经验和挑战方案寄回家。
