Kirwan L, Apriyanti E, Sheaf G, DeVries J, Coyne I
Trinity College Dublin, School of Nursing and Midwifery & Trinity Research in Childhood Centre, Dublin 2, Ireland.
J Clin Nurs. 2025 Oct;34(10):4038-4054. doi: 10.1111/jocn.17861. Epub 2025 Jun 12.
Adolescents with mental health difficulties often attend acute paediatric services. There is a need to establish how well these services address their difficulties. No systematic review of this issue for adolescents aged 12-17 has been published.
To explore perspectives of healthcare professionals, adolescents and families on the provision of care for adolescents with mental health difficulties in acute paediatric services.
Mixed methods systematic review.
Authors screened published studies using Covidence for eligibility and extracted data. Findings were synthesised using qualitative convergent synthesis. Studies were critically appraised using the Mixed Methods Appraisal Tool (MMAT).
Five databases were searched: MEDLINE, PsycINFO, CINAHL, Embase and Web of Science Core Collection from June 2003 to July 2023.
Sixteen studies were included. Eleven studies were good quality, three were low quality and two were fair quality. Healthcare professionals' perspectives consisted of two themes: barriers and facilitators of care. Adolescents' perspectives consisted of two themes: perceptions of care and supportive and unsupportive interpersonal interactions. One study explored families' experiences of care.
Perspectives of care were similar across various countries and suggest that acute paediatric services do not adequately address mental health difficulties. There is a need for more support and education for healthcare professionals, targeted interventions and further research.
The SWiM guideline was used to ensure a transparent and systematic literature review. No patient or public contribution.
PROSPERO: CRD42023443336 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=443336).
有心理健康问题的青少年经常就诊于儿科急症服务机构。有必要确定这些服务机构应对他们问题的效果如何。尚未发表针对12至17岁青少年这一问题的系统评价。
探讨医疗保健专业人员、青少年及其家庭对儿科急症服务机构为有心理健康问题的青少年提供护理的看法。
混合方法系统评价。
作者使用Covidence筛选已发表的研究以确定其是否符合纳入标准并提取数据。研究结果采用定性聚合综合法进行综合分析。使用混合方法评估工具（MMAT）对研究进行严格评估。
检索了五个数据库：MEDLINE、PsycINFO、CINAHL、Embase和科学网核心合集，检索时间为2003年6月至2023年7月。
纳入了16项研究。11项研究质量良好，3项质量较低，2项质量一般。医疗保健专业人员的看法包括两个主题：护理的障碍和促进因素。青少年的看法包括两个主题：对护理的认知以及支持性和非支持性的人际互动。一项研究探讨了家庭的护理体验。
不同国家对护理的看法相似，这表明儿科急症服务机构未能充分应对心理健康问题。需要为医疗保健专业人员提供更多支持和教育、开展针对性干预并进行进一步研究。
采用SWiM指南以确保进行透明且系统的文献综述。未纳入患者或公众参与。
国际前瞻性系统评价注册库（PROSPERO）：CRD42023443336（https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=443336）
