Healthcare Professionals' Perspectives on the Use of Standing Frames for Children Diagnosed With Cerebral Palsy: An Explanatory Mixed Methods Study

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-08-14 DOI:10.1111/cch.13320

Michaela Andersen, Lærke Hartvig Krarup, Nanna Rolving, Anders Holsgaard-Larsen, Charlotte Pawlowski, Helle Mätzke Rasmussen, Maja Husted Hubeishy

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Abstract

Background

Standing frames are commonly used by healthcare professionals in their practice with children with cerebral palsy (CP) who do not have an independent standing function. A better understanding of healthcare professionals' attitudes and experiences with standing frames may impact practice and rehabilitation. Therefore, this study aimed to investigate the standing frame practice among healthcare professionals and expand their attitude and experience with the use of standing frames for children with CP.

Methods

This is an explanatory sequential mixed methods study. A cross-sectional survey was conducted, providing quantitative data on 210 healthcare professionals' use of standing frames. The quantitative data were descriptively analysed. Subsequently, the results from the survey were followed up with five focus group interviews of healthcare professionals (n = 14). The qualitative data were analysed using thematic analysis, enabling integration between the quantitative and qualitative data.

Results

When quantitative and qualitative data are integrated, expansion between the two datasets occurred. The quantitative dataset emphasised the use of GMFCS levels as a guideline for recommending standing frames, whereas the qualitative data showed that the healthcare professionals' recommendations were based on individual needs. Furthermore, the healthcare professionals expanded the quantitative data, showing that the healthcare professionals' considerations regarding age and dosage were based on clinical experience, and saw the standing frame as having many benefits.

Conclusion

The healthcare professionals had a child-centred approach, where the child's need for using a standing frame was assessed based on the functional level, stage of development, cognitive level and clinical assessment. All of these considerations showed that the use of standing frames for children with CP was individualised, thereby making it difficult to make unified descriptions.

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医护人员对确诊为脑瘫的儿童使用站立架的看法：一项解释性混合方法研究。

背景：对于没有独立站立功能的脑性瘫痪（CP）儿童，医护人员通常会使用站立架。更好地了解医护人员对站立架的态度和经验可能会对实践和康复产生影响。因此，本研究旨在调查医护人员的站立架使用情况，并拓展他们对 CP 儿童使用站立架的态度和经验：这是一项解释性顺序混合方法研究。我们进行了一项横断面调查，提供了 210 名医护人员使用站立架的定量数据。对定量数据进行了描述性分析。随后，对调查结果进行了跟进，对医护人员进行了五次焦点小组访谈（n = 14）。采用主题分析法对定性数据进行了分析，从而实现了定量数据与定性数据的整合：结果：定量和定性数据整合后，两个数据集之间出现了扩展。定量数据集强调了使用 GMFCS 水平作为推荐站立架的指导原则，而定性数据则表明医护人员的建议是基于个人需求的。此外，医护人员对定量数据进行了扩展，表明医护人员对年龄和剂量的考虑是基于临床经验，并认为站立架有很多好处：医护人员采用了以儿童为中心的方法，根据儿童的功能水平、发育阶段、认知水平和临床评估来评估儿童是否需要使用站立架。所有这些因素都表明，CP 儿童使用站立架是因人而异的，因此很难做出统一的描述。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.