Health care providers' communication with pediatric patients and carers: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-04-29 DOI:10.1097/XEB.0000000000000425
Maryam Shoaran, Sakineh Hajebrahimi, Neda Kabiri, Hanieh Salehi Pourmehr, Amin Talebpour
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Abstract

Introduction and objectives: Health care providers need a high level of communication skills in dealing with pediatric patients and their carers. The objective of this project was to evaluate current practice and implement best practices promoting health care provider communication with pediatric patients and carers in a children's hospital in Tabriz, Iran.

Methods: This project used the JBI Model of Evidence-Based Healthcare, which guided the conceptualization of evidence implementation, context analysis, project implementation, and evaluation of outcomes using evidence-based quality indicators. An audit and feedback strategy was adopted to measure baseline compliance with best practices, develop strategies to address areas of non-compliance, and conduct a final audit to measure any changes in compliance. Four criteria were developed for the baseline and follow-up audits. Criteria 1 and 2 were evaluated using a sample of 30 health care providers, while Criteria 3 and 4 were evaluated using a sample of 80 pediatric patients and carers.

Results: All four criteria improved at the end of the project. Criterion 1 (health care staff receive communication skills training) had the highest mean score at baseline and follow-up (63% and 83%, respectively). Criterion 2 (implementation of local strategies by health care organizations) increased from 45% to 55%. However, this rate of improvement was the lowest of all the criteria. Criterion 3 (pediatric patients receive relevant education) improved from low to moderate, rising from 18% to 49%. A more significant improvement was noted for Criterion 4 (parents receive relevant education), which rose from 19% to 56%.

Conclusions: The strategies implemented in this project successfully improved health care provider communication with pediatric patients and their carers. To ensure project sustainability, repeat audits will be conducted after 3, 6, and 12 months.

Spanish abstract: http://links.lww.com/IJEBH/A199.

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医疗服务提供者与儿科患者和护理人员的沟通:最佳实践实施项目。
导言和目标:医护人员在与儿科病人及其护理人员打交道时需要具备高水平的沟通技巧。本项目旨在评估伊朗大不里士一家儿童医院的现行做法,并实施促进医护人员与儿科患者及其护理人员沟通的最佳做法:本项目采用了 JBI 循证医疗模式,该模式指导了循证实施的概念化、背景分析、项目实施以及使用循证质量指标对结果进行评估。该项目采用审计和反馈策略来衡量最佳实践的基线达标情况,制定策略以解决不达标的领域,并进行最终审计以衡量达标情况的变化。为基线审计和后续审计制定了四项标准。标准 1 和标准 2 的评估对象是 30 名医疗服务提供者,标准 3 和标准 4 的评估对象是 80 名儿科患者和护理人员:结果:在项目结束时,所有四项标准都有所改善。标准 1(医护人员接受沟通技巧培训)在基线和后续评估中的平均得分最高(分别为 63% 和 83%)。标准 2(医疗机构实施当地战略)从 45%提高到 55%。然而,这一改进率是所有标准中最低的。标准 3(儿科患者接受相关教育)从低度改善到中度,从 18% 上升到 49%。标准 4(家长接受相关教育)的改善更为明显,从 19% 上升到 56%:本项目实施的策略成功地改善了医疗服务提供者与儿科患者及其护理人员的沟通。为确保项目的可持续性,将在 3 个月、6 个月和 12 个月后进行重复审核。西班牙文摘要:http://links.lww.com/IJEBH/A199。
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CiteScore
3.20
自引率
13.00%
发文量
23
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