Department of Pediatrics, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
McMaster Children's Hospital, Hamilton, Ontario, Canada.
BMJ Paediatr Open. 2024 Jul 23;8(1):e002739. doi: 10.1136/bmjpo-2024-002739.
The objective is to describe the experiences and perceptions of caregivers who participated in a community systems navigator intervention that addressed unmet social needs.
DESIGN, SETTING AND PATIENTS: A qualitative descriptive study with caregivers of children enrolled in a clinical trial addressing unmet social needs of families with children cared for in a tertiary pediatric weight management clinic, through community systems navigation. Participants were asked open-ended questions related to perceptions of social needs screening in clinical settings. Interviews were recorded and analysed using Braun and Clarke's six-phase approach to thematic analysis.
Ten parent participants were interviewed. Social needs screening perception and acceptability varied between participants. Social needs screening was comfortable for most but stressful for others. Participants noted that trusting relationships promote comfort with sharing social needs information, and this data should be shared on the electronic health record if accurate and purposeful. They found the online screening tool convenient but thought it could also limit opportunities to elaborate. Some participants noted the intervention of community systems navigation helpful; however, others described the need for more tailored resources.
Screening for unmet social needs in clinical settings is complex and should be family centred, including the consideration of the mode of screening, data sharing in the electronic health record and ensuing interventions. Perspectives of families should drive the design of future larger scale community navigation interventions to address unmet social needs in clinical settings.
描述参与社区系统导航干预的照顾者的经验和看法，该干预旨在满足有未满足社会需求的家庭的社会需求。
设计、地点和患者：一项定性描述性研究，涉及参与通过社区系统导航解决儿童临床研究中未满足的社会需求的儿童的照顾者。参与者被问及与临床环境中社会需求筛查的看法相关的开放式问题。使用 Braun 和 Clarke 的六阶段主题分析方法对访谈进行记录和分析。
对 10 名家长参与者进行了访谈。社会需求筛查的看法和可接受性在参与者之间存在差异。社会需求筛查对大多数人来说是舒适的，但对其他人来说是有压力的。参与者指出，信任关系促进了分享社会需求信息的舒适感，如果数据准确且有目的，应在电子健康记录中共享。他们认为在线筛查工具很方便，但认为它也可能限制了详细阐述的机会。一些参与者注意到社区系统导航的干预很有帮助；然而，其他人则描述了对更具针对性资源的需求。
在临床环境中筛查未满足的社会需求是复杂的，应该以家庭为中心，包括考虑筛查的方式、电子健康记录中数据的共享以及随后的干预措施。家庭的观点应推动未来更大规模的社区导航干预措施的设计，以解决临床环境中的未满足的社会需求。
