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迈向基于证据的儿童足部护理:卫生专业人员的行为和意见。

Steps towards evidence-based foot-care for children: Behaviour and opinions of health professionals.

机构信息

School of Health Sciences, University of Brighton, Eastbourne, UK.

School of Health and Society, University of Salford, Salford, UK.

出版信息

Health Soc Care Community. 2020 Sep;28(5):1651-1657. doi: 10.1111/hsc.12990. Epub 2020 Mar 30.

Abstract

Allied health professionals (AHPs) working with children need the appropriate knowledge, skills and experiences to provide high-quality care. This includes using research to drive improvements in care and ensuring that knowledge and practices are consistent and build upon the best available evidence. The aim of this work was to understand more about the shared behaviours and opinions of health professionals supporting children's foot health care; how they find information that is both relevant to their clinical practice as well as informing the advice they share. A qualitative design using semi-structured, one-to-one, telephone interviews with AHPs was adopted. Thematic analysis was used to generate meaning, identify patterns and develop themes from the data. Eight interviews were conducted with physiotherapists, podiatrists and orthotists. Five themes were identified relating to health professionals: (a) Engaging with research; (b) Power of experience; (c) Influence of children's footwear companies; (d). Dr Google - the new expert and (e) Referral pathways for children's foot care. The findings indicate that the AHPs adopted a number of strategies to develop and inform their own professional knowledge and clinical practice. There could be barriers to accessing information, particularly in areas where there is limited understanding or gaps in research. The availability of online foot health information was inconsistent and could impact on how AHPs were able to engage with parents during consultations.

摘要

从事儿童医疗工作的辅助医疗专业人员需要具备适当的知识、技能和经验,以提供高质量的护理。这包括利用研究来推动护理的改善,并确保知识和实践是一致的,并建立在最佳现有证据的基础上。这项工作的目的是更深入地了解支持儿童足部健康护理的医疗专业人员的共同行为和观点;他们如何找到与临床实践相关且能为他们提供建议的信息。采用了定性设计,对辅助医疗专业人员进行了半结构化的一对一电话访谈。使用主题分析从数据中生成意义、识别模式和发展主题。共对 8 名物理治疗师、足病医生和矫形器技师进行了访谈。确定了与医疗专业人员相关的五个主题:(a) 参与研究;(b) 经验的力量;(c) 儿童鞋类公司的影响;(d). Dr Google-新专家和 (e) 儿童足部护理的转诊途径。研究结果表明,辅助医疗专业人员采用了多种策略来发展和告知自己的专业知识和临床实践。在获取信息方面可能存在障碍,特别是在研究理解有限或存在差距的领域。在线足部健康信息的可用性不一致,这可能会影响辅助医疗专业人员在咨询期间与家长的互动方式。

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