Irwin Emily D, Keller Briana P, Hughie Andrea, Runyan Patti, Boles Jessika C
Vanderbilt University, Nashville, TN, USA.
Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.
BMC Pediatr. 2025 Jul 2;25(1):499. doi: 10.1186/s12887-025-05748-9.
Hundreds of thousands of pediatric patients receive inpatient behavioral health care each year, and many of these experience boarding stays in general inpatient units while they await transfer to a psychiatric facility. Boarding stays are often characterized by low quality of care, including a lack of individualized care planning. The authors present an evaluation of an individualized care planning tool, the My Health Passport, reported by pediatric patients to understand the perceptions and feasibility of implementation.
A total of 100 pediatric patients ages 8-17 who were admitted for behavioral health concerns and experienced boarding participated. Following completion of the My Health Passport tool, participants completed a questionnaire regarding their helpfulness, satisfaction, and suggestions for improving the tool. A prospective cohort design was used. Quantitative data were analyzed via descriptive statistics utilizing SPSS, and an inductive coding process was used to evaluate short-answer responses.
Data suggest pediatric patients were largely satisfied with the tool, with a mean satisfaction rating of 7.72 out of 10. Patients find it improves their stay through increasing comfort with staff and emphasizing the use of coping skills with tailored questions. The possibility of creating multiple forms of the tool, with varying levels of complexity, was raised. Participants also envisioned My Health Passport to be a useful tool in settings such as their homes, schools, community organizations, and other facilities in which they may receive inpatient psychiatric care.
Overall, this tool is received well and perceived as helpful by pediatric patients. Future research could evaluate the use of an individualized behavioral health planning tool in outpatient settings and with longitudinal cohorts.
每年有数十万儿科患者接受住院行为健康护理，其中许多人在等待转至精神病院期间会在普通住院病房停留。停留期间的护理质量往往较低，包括缺乏个性化护理计划。作者对一种个性化护理计划工具“我的健康护照”进行了评估，该工具由儿科患者报告，以了解其实施的认知度和可行性。
共有100名8至17岁因行为健康问题入院并经历停留的儿科患者参与。在完成“我的健康护照”工具后，参与者完成了一份关于该工具的帮助性、满意度以及改进建议的问卷。采用前瞻性队列设计。通过使用SPSS进行描述性统计分析定量数据，并使用归纳编码过程评估简答题答案。
数据表明儿科患者对该工具总体满意，平均满意度评分为7.72分（满分10分）。患者发现该工具通过提高与工作人员的舒适度以及通过针对性问题强调应对技能的使用，改善了他们的停留体验。有人提出了创建多种形式该工具的可能性，其复杂度各不相同。参与者还设想“我的健康护照”在他们的家庭、学校、社区组织以及他们可能接受住院精神科护理的其他场所等环境中是一个有用的工具。
总体而言，该工具受到儿科患者的好评并被认为有帮助。未来的研究可以评估个性化行为健康计划工具在门诊环境和纵向队列中的使用情况。
