Clinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Department of Occupational Therapy, La Trobe University, Melbourne, Victoria, Australia.
BMJ Open. 2022 Jun 13;12(6):e059534. doi: 10.1136/bmjopen-2021-059534.
COVID-19 has led to rapid changes in rehabilitation service provision for young people living with traumatic brain and/or spinal cord injury. The aim of this project was to understand the experiences of rehabilitation service providers during the acute response stage of the COVID-19 pandemic. Specifically, we aimed to identify innovative approaches to meeting the ongoing needs of young people with traumatic brain and/or spinal cord injury during this time.
This study was conducted at a research institute and involved remote interviews with key informants around Australia and internationally.
Key informants from 11 services supporting children and/or adolescents with traumatic brain injury and/or spinal cord injury were interviewed using a semistructured interview guide. Interviews were transcribed and analysed using inductive thematic analysis.
Three key themes emerged: (1) recognising and responding to the experiences of families during the pandemic, (2) the impact of greater use of telehealth on care delivery, and (3) realising opportunities to enhance family-centred care.
These themes capture shifting perspectives and process changes relevant to longer term practice. Research findings suggest opportunities for future service development, enabling service delivery that is more family centred, flexible and efficient in meeting the needs of families. Understanding these experiences and the changed nature of service delivery provides important insights with implications for future service improvement.
新冠疫情导致为患有颅脑和/或脊髓损伤的年轻人提供康复服务迅速发生变化。本项目旨在了解康复服务提供者在新冠疫情急性反应阶段的经历。具体而言，我们旨在确定在此期间满足颅脑和/或脊髓损伤年轻人持续需求的创新方法。
本研究在一家研究所进行，涉及对澳大利亚和国际上的 11 个服务机构的主要信息提供者进行远程访谈。
使用半结构化访谈指南对支持颅脑损伤和/或脊髓损伤儿童和/或青少年的 11 个服务机构的 11 名主要信息提供者进行了访谈。对访谈进行了转录和归纳主题分析。
出现了三个主要主题：（1）认识和应对大流行期间家庭的经历，（2）更多使用远程医疗对护理提供的影响，以及（3）实现增强以家庭为中心的护理的机会。
这些主题反映了与长期实践相关的不断变化的观点和流程变化。研究结果表明了未来服务发展的机会，使服务更以家庭为中心、灵活和高效，以满足家庭的需求。了解这些经历和服务提供性质的变化为未来的服务改进提供了重要的见解。
