Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
JMIR Ment Health. 2024 Jun 6;11:e57965. doi: 10.2196/57965.
In many countries, health care professionals are legally obliged to share information from electronic health records with patients. However, concerns have been raised regarding the sharing of notes with adolescents in mental health care, and health care professionals have called for recommendations to guide this practice.
The aim was to reach a consensus among authors of scientific papers on recommendations for health care professionals' digital sharing of notes with adolescents in mental health care and to investigate whether staff at child and adolescent specialist mental health care clinics agreed with the recommendations.
A Delphi study was conducted with authors of scientific papers to reach a consensus on recommendations. The process of making the recommendations involved three steps. First, scientific papers meeting the eligibility criteria were identified through a PubMed search where the references were screened. Second, the results from the included papers were coded and transformed into recommendations in an iterative process. Third, the authors of the included papers were asked to provide feedback and consider their agreement with each of the suggested recommendations in two rounds. After the Delphi process, a cross-sectional study was conducted among staff at specialist child and adolescent mental health care clinics to assess whether they agreed with the recommendations that reached a consensus.
Of the 84 invited authors, 27 responded. A consensus was reached on 17 recommendations on areas related to digital sharing of notes with adolescents in mental health care. The recommendations considered how to introduce digital access to notes, write notes, and support health care professionals, and when to withhold notes. Of the 41 staff members at child and adolescent specialist mental health care clinics, 60% or more agreed with the 17 recommendations. No consensus was reached regarding the age at which adolescents should receive digital access to their notes and the timing of digitally sharing notes with parents.
A total of 17 recommendations related to key aspects of health care professionals' digital sharing of notes with adolescents in mental health care achieved consensus. Health care professionals can use these recommendations to guide their practice of sharing notes with adolescents in mental health care. However, the effects and experiences of following these recommendations should be tested in clinical practice.
在许多国家，医疗保健专业人员有法律义务与患者共享电子健康记录中的信息。然而，人们对在精神卫生保健中与青少年共享笔记表示担忧，医疗保健专业人员呼吁提出指导这一做法的建议。
旨在就医疗保健专业人员在精神卫生保健中与青少年共享电子笔记的建议达成科学论文作者之间的共识，并调查儿童和青少年精神科专家诊所的工作人员是否同意这些建议。
对科学论文的作者进行了一项德尔菲研究，以就建议达成共识。制定建议的过程涉及三个步骤。首先，通过在 PubMed 中搜索，筛选参考文献，确定符合入选标准的科学论文。其次，对纳入论文的结果进行编码，并在迭代过程中转化为建议。最后，要求纳入论文的作者在两轮中提供反馈，并考虑他们对每个建议的同意程度。在德尔菲过程之后，对专家儿童和青少年精神卫生保健诊所的工作人员进行了横断面研究，以评估他们是否同意达成共识的建议。
在 84 位受邀作者中，有 27 位做出了回应。就与精神卫生保健中与青少年共享电子笔记相关的 17 个建议达成了共识。这些建议考虑了如何引入访问笔记的数字渠道、撰写笔记以及支持医疗保健专业人员，以及何时保留笔记。在 41 名儿童和青少年精神科专家保健诊所的工作人员中，有 60%或更多的人同意这 17 项建议。在青少年应何时获得其笔记的数字访问权限以及何时与家长共享数字笔记方面，未达成共识。
就医疗保健专业人员在精神卫生保健中与青少年共享电子笔记的关键方面达成了 17 项建议。医疗保健专业人员可以使用这些建议来指导他们在精神卫生保健中与青少年共享笔记的实践。但是，应在临床实践中检验这些建议的效果和经验。
