The use of joint consultations in the transition from child to adult outpatient clinic within type 1 diabetes care: A qualitative study

IF 1.7 4区 医学 Q2 NURSING Collegian Pub Date : 2024-12-01 Epub Date: 2024-10-20 DOI:10.1016/j.colegn.2024.08.002
Nora Kathrine Gylling , Lena Sønder Snogdal , Mette Juel Rothmann
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Abstract

Aim

This study aims to explore the experiences of young adults and their parents regarding joint consultations during their transition from the Children to the Adult Outpatient Clinic, based on a transition project at Odense University Hospital.

Methods

Individual interviews were conducted with ten young adults (aged 17–18 years) and six parents, using a phenomenological-hermeneutic approach. Transcripts were analysed using a pragmatic approach for text condensation.

Results

The analysis revealed three main themes: ‘A feeling of security’, highlighting the importance of the familiar nurse in the transition, communication about the adult clinic, and building personal relationships with the new healthcare professionals; ‘A fear for the Adult Outpatient Clinic’, describing how the unknown could create anxiety and concerns about whether the adult outpatient clinic has sufficient medical and educational resources; and ‘Parental participation and responsibility’, highlighting the need for balancing independence and the importance of parental involvement.

Conclusion

Joint consultations appear to have a positive impact on young adults and their parents during the transition. However, more scientific evidence is needed in this area.
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在1型糖尿病治疗中从儿童到成人门诊过渡中联合会诊的使用:一项定性研究
目的本研究旨在探讨年轻人及其父母在从儿童门诊过渡到成人门诊期间的联合咨询经验,基于欧登塞大学医院的一个过渡项目。方法采用现象学-解释学方法,对10名青少年(17-18岁)和6名家长进行了个人访谈。转录本分析使用务实的方法文本凝结。结果分析揭示了三个主要主题:“安全感”,强调了熟悉护士在过渡中的重要性,关于成人诊所的沟通,以及与新医护人员建立个人关系;“对成人门诊的恐惧”,描述了未知事物如何使人对成人门诊是否有足够的医疗和教育资源产生焦虑和担忧;以及“父母的参与和责任”,强调需要平衡独立和父母参与的重要性。结论联合咨询对过渡时期的青少年及其父母有积极的影响。然而,这一领域还需要更多的科学证据。
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
Collegian
Collegian NURSING-
CiteScore
2.70
自引率
6.70%
发文量
127
审稿时长
72 days
期刊介绍: Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.
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