Paclikova Katerina, Dankulincova Veselska Zuzana, Madarasova Geckova Andrea, Tavel Peter, Jansen Danielle E M C, van Dijk Jitse P, Reijneveld Sijmen A
Olomouc University Social Health Institute, Palacky University in Olomouc, Olomouc, Czechia.
Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Front Psychol. 2024 Dec 19;15:1302004. doi: 10.3389/fpsyg.2024.1302004. eCollection 2024.
Emotional and behavioral problems (EBP) during adolescence are a major public health issue due to its high prevalence and long-lasting consequences. The knowledge of the barriers in providing psychosocial care can be a starting point for subsequent efficiency improvement. Therefore, the aim of this study is to assess which barriers do care providers experience while providing psychosocial care for adolescents with EBP.
We performed a qualitative assessment that was embedded in the Slovak Care4Youth study mapping the system of care provided for adolescents with EBP. We conducted 25 semi-structured individual and group interviews with a total of 49 care providers from 17 institutions that provided preventive counselling, social, and mental healthcare for adolescents with EBP. We focused on the care provider's perception of barriers in providing care for these adolescents. The interviews were audiotaped and transcribed verbatim. We coded the data using the consensual qualitative research approach in combination with conventional content analysis.
We found that care providers experienced several barriers in providing care for adolescents with EBP which relate to six themes-legislative framework and legislative changes; financing of the care system; coordination of care; workforce development, education, methodical guidance and supervision; personnel and institutional capacities; and administrative burden.
Addressing these barriers within the care system from the "front line" perspective provides clues to efficiently improve the psychosocial care for adolescents with EBP. According to the care providers, the organization and financing of the care system requires adaptation; the burden of the care providers should be reduced; and care providers require quality practical education, training, and methodological guidance.
青少年时期的情绪和行为问题（EBP）因其高患病率和长期后果，成为一个重大的公共卫生问题。了解提供心理社会护理过程中的障碍，可为后续提高效率提供切入点。因此，本研究旨在评估护理提供者在为有EBP的青少年提供心理社会护理时遇到哪些障碍。
我们进行了一项定性评估，该评估嵌入斯洛伐克“关爱青少年”研究中，该研究绘制了为有EBP的青少年提供护理的系统。我们对来自17个机构的49名护理提供者进行了25次半结构化的个人和小组访谈，这些机构为有EBP的青少年提供预防性咨询、社会和心理保健。我们关注护理提供者对为这些青少年提供护理时障碍的看法。访谈进行了录音并逐字转录。我们使用共识定性研究方法结合传统内容分析法对数据进行编码。
我们发现护理提供者在为有EBP的青少年提供护理时遇到了几个障碍，这些障碍涉及六个主题——立法框架和立法变化；护理系统的融资；护理协调；劳动力发展、教育、方法指导和监督；人员和机构能力；以及行政负担。
从“一线”角度解决护理系统中的这些障碍，为有效改善对有EBP的青少年的心理社会护理提供了线索。根据护理提供者的说法，护理系统的组织和融资需要调整；应减轻护理提供者的负担；护理提供者需要高质量的实践教育、培训和方法指导。
