照顾者和临床医生在 COVID-19 期间为有复杂需求的儿童和青年提供虚拟服务的经验。
Caregiver and Clinician Experience With Virtual Services for Children and Youth With Complex Needs During COVID-19.
机构信息
Laura Theall, Research Coordinator, Child and Parent Resource Institute, London, Ontario, Canada..
Kim Arbeau, Research Coordinator, Child and Parent Resource Institute, London, Ontario, Canada.
出版信息
J Pediatr Health Care. 2023 Mar-Apr;37(2):167-172. doi: 10.1016/j.pedhc.2022.09.017. Epub 2022 Oct 6.
INTRODUCTION
During the COVID-19 pandemic, support services for children and youth quickly shifted to virtual means. To continue delivering essential, trauma-informed, specialized services, the center transitioned to providing most services by phone/video conference.
METHOD
A quality improvement project using survey methods was conducted to determine if virtual delivery was timely and satisfactory for inpatient and outpatient care.
RESULTS
Findings indicated services were timely. Caregivers appreciated the support, felt a personal connection with staff, and confirmed services met their goals and expectations. However, challenges faced by staff included engaging the child/youth by phone/video, loss of collaboration with colleagues, and concerns about fulfilling their role through virtual means.
DISCUSSION
Understanding stakeholder experiences illuminated the path of quality improvement during this major shift in service delivery. Benefits were shown for a blended model of in-person and virtual services on the basis of clinical judgment and the unique needs of clients and families in considering future service model options.
简介
在 COVID-19 大流行期间，儿童和青少年的支持服务迅速转向虚拟方式。为了继续提供必要的、以创伤为中心的专业服务，该中心过渡到主要通过电话/视频会议提供服务。
方法
采用调查方法进行了一项质量改进项目，以确定虚拟交付是否及时且满足住院和门诊护理的要求。
结果
研究结果表明服务是及时的。护理人员对支持表示赞赏，与工作人员建立了个人联系，并确认服务符合他们的目标和期望。然而，工作人员面临的挑战包括通过电话/视频与孩子/青年互动、与同事失去合作以及对通过虚拟手段履行职责的担忧。
讨论
了解利益相关者的经验阐明了在服务提供方式发生重大转变期间进行质量改进的途径。根据临床判断以及客户和家庭的独特需求，考虑未来服务模式选项，混合了面对面和虚拟服务的模式显示出了优势。
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