Bringing Young People, Health and Social Care Professionals, Transition Champions and Policymakers Together Through Hybrid Methods of Participation: Creating a Space for Shared Understanding of What Is Required to Improve Young People's Healthcare Transition

IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Expectations Pub Date : 2025-01-30 DOI:10.1111/hex.70136
Louise Porter, Faith Gibson, Susie Aldiss, Sue Morgan, Alexandra Stanton, Stella Carney, Aishah Farooq, Isabel Barlow, Haris Sultan, Pippa Sipanoun
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Abstract

Introduction

A multi-stakeholder conference was held in 2023, celebrating the achievements of the Burdett National Transition Nursing Network (BNTNN). The BNTNN had been implemented across England in 2020 to map the current state of young people's healthcare transition into adult services across England, and work with key stakeholders to coach them through making sustainable quality improvements to young people's transition services. This work was funded by the Burdett Trust for Nursing, following the success of an exemplar Model for Quality Improvement (QI) for Transition, which had been developed at a Teaching Hospital in England. The BNTNN consisted of a National Lead Nurse, four Regional Nurse Advisors based in host organisations in the four main regions of England, and an Expert Advisor for the care of young people. A research team was appointed to evaluate the impact of the BNTNN, leading the National Transition Evaluation Study. The BNTNN Lead Nurse worked in partnership with NHS England to provide national solutions to high-level barriers to the implementation of transition pathways.

Methods

Young people with long-term conditions have participated and engaged with the BNTNN since its inception, throughout the QI project and research through membership to the Transition Advisory Group. Young people, professionals, staff members and policymakers were included in our hybrid conference in March 2023. The BNTNN and research team brought these groups together to share learning from the 3-year project, celebrating and showcasing achievements in each region as a result of the expert advice and support from the network. Young people contributed their experiences of transition journeys into adult services, and policymakers reflected upon national developments. Provider organisations from each region showcased their transition transformation journeys, sharing successes and challenges encountered during the QI process. The research team provided an update, and was responsible for capturing content and discussions on the day.

Results

With 405 attendees, the conference provided peer support and guidance, and enabled connections between young people, health and social care professionals, transition champions and policymakers. The primary aim was to forge long-lasting collaborations for the benefit of improving health services and outcomes for young people.

Conclusion

In this article we highlight how it is possible to bring key stakeholders together through hybrid methods of participation, and how this enabled a shared understanding and a combined commitment to progress young people's transition services for the future.

Patient or Public Contribution

Young people who are experts by experience have been involved throughout this 3-year project and in the ongoing evaluation. Here we highlight the importance of involving young people, professionals, staff members and policymakers when creating a space for shared understanding of what is required to improve services for young people transitioning into adult healthcare services.

Trial Registration

NCT05867745 [ClinicalTrials.gov].

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通过混合参与方法将年轻人、卫生和社会保健专业人员、转型倡导者和政策制定者聚集在一起:创造一个空间,让大家共同了解改善年轻人医疗保健转型所需的条件。
2023年举行了一次多方利益相关者会议,庆祝Burdett国家过渡护理网络(BNTNN)的成就。BNTNN已于2020年在英格兰各地实施,以绘制英格兰各地年轻人医疗保健过渡到成人服务的现状,并与主要利益攸关方合作,通过可持续地提高年轻人过渡服务的质量来指导他们。这项工作是由伯德特护理信托基金资助的,在此之前,英国一家教学医院成功开发了一个转型质量改进(QI)的范例模型。BNTNN由一名国家首席护士、四名设在英格兰四个主要地区的主办组织的区域护士顾问和一名照顾年轻人的专家顾问组成。任命了一个研究小组来评价BNTNN的影响,领导国家过渡评价研究。BNTNN首席护士与英国国家医疗服务体系合作,为实施过渡途径的高水平障碍提供国家解决方案。方法:患有长期疾病的年轻人自BNTNN成立以来,通过加入过渡咨询小组,参与并参与了整个QI项目和研究。青年、专业人士、工作人员和政策制定者参加了我们在2023年3月举行的混合会议。BNTNN和研究团队将这些团体聚集在一起,分享从三年项目中获得的经验,庆祝并展示每个地区在专家建议和网络支持下取得的成就。年轻人将他们的过渡旅程经验贡献给了成人服务,政策制定者反思了国家的发展。来自各个地区的供应商组织展示了他们的转型之旅,分享了在质量保证过程中所取得的成功和遇到的挑战。研究小组提供了一个更新,并负责捕捉当天的内容和讨论。结果:会议共有405名与会者,提供了同伴支持和指导,并使青年、卫生和社会保健专业人员、过渡支持者和政策制定者之间建立了联系。主要目标是建立长期合作,以改善青年人的保健服务和成果。结论:在本文中,我们强调了如何通过混合参与方法将主要利益相关者聚集在一起,以及这如何实现共同理解和共同承诺,以推进年轻人未来的过渡服务。患者或公众贡献:在这个为期3年的项目和正在进行的评估中,由经验丰富的专家参与。在此,我们强调让年轻人、专业人员、工作人员和政策制定者参与进来的重要性,以便创造一个空间,共同了解改善向成人医疗保健服务过渡的年轻人的服务所需的条件。试验注册:NCT05867745 [ClinicalTrials.gov]。
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来源期刊
Health Expectations
Health Expectations 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.20
自引率
9.40%
发文量
251
审稿时长
>12 weeks
期刊介绍: Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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