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家庭为中心的服务:来自非西方国家的儿科住院医师的观点。

Family-centred service: Perspectives of paediatric residents from a non-Western country.

机构信息

Department of Pediatrics, Division of Developmental Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Child Care Health Dev. 2020 May;46(3):275-282. doi: 10.1111/cch.12753. Epub 2020 Jan 30.

Abstract

OBJECTIVES

The concept of family-centred service (FCS), which is recognized as the standard of paediatric health care, emerged from Western countries, and integration of FCS can be challenging especially in non-Western countries. This study aims to explore family-centred behaviours of paediatric residents and their perspectives on FCS being trained in a non-Western country before and 6 months after an educational workshop. It was hypothesized that the workshop will increase the awareness of paediatric residents regarding FCS and improve their self-reported family-centred practices.

STUDY DESIGN

Ninety-nine residents who are in a 4-year paediatric residency program were included. A 2-hr interactive workshop was conducted for all participants. The measure of processes of care for service providers was used to measure self-reported family-centred practices of paediatric residents, and a study specific questionnaire was utilized to understand their perspectives towards FCS prior to and 6 months after the workshop.

RESULTS

There were statistically significant increases in the measure of processes of care for service providers scores suggesting improvements in self-reported family-centred practices of participants 6 months after the workshop. Moreover, the percentage of participants describing themselves as knowledgeable and competent increased. Viewpoints of paediatric residents on the implementation of FCS and several challenges perceived by participants were highlighted.

CONCLUSION

This is the first study conducted in a non-Western country exploring perspectives of paediatric residents towards the implementation of FCS and measuring their self-reported family-centred practices before and after an educational workshop. The study revealed that although a 2-hr interactive workshop improved the self-reported family-centred practices of participants, they still found FCS challenging.

摘要

目的

以家庭为中心的服务(FCS)理念被认为是儿科保健的标准,它起源于西方国家,在非西方国家整合 FCS 可能具有挑战性。本研究旨在探讨儿科住院医师的以家庭为中心的行为及其在非西方国家接受 FCS 培训前后的观点。研究假设该研讨会将提高儿科住院医师对 FCS 的认识,并改善他们自我报告的以家庭为中心的实践。

研究设计

纳入了 99 名正在接受为期 4 年儿科住院医师培训的住院医师。所有参与者都参加了 2 小时的互动研讨会。服务提供者的护理过程措施用于衡量儿科住院医师自我报告的以家庭为中心的实践,使用特定于研究的问卷在研讨会前后了解他们对 FCS 的看法。

结果

服务提供者护理过程措施的得分有统计学意义的增加,表明参与者在研讨会 6 个月后自我报告的以家庭为中心的实践有所改善。此外,描述自己知识渊博和有能力的参与者比例增加了。强调了儿科住院医师对实施 FCS 的观点以及参与者认为存在的一些挑战。

结论

这是在非西方国家进行的第一项探讨儿科住院医师对实施 FCS 的观点并衡量他们在教育研讨会前后自我报告的以家庭为中心的实践的研究。该研究表明,尽管 2 小时的互动研讨会提高了参与者的自我报告的以家庭为中心的实践,但他们仍然认为 FCS 具有挑战性。

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