在爱尔兰弱势地区与社区儿科诊所接触的家长观点,并提供相关的儿童发展支持。

IF 1.3 4区 医学 Q3 NURSING Journal of Child Health Care Pub Date : 2023-11-13 DOI:10.1177/13674935231210947
Lynn Buckley, Katherine Harford, Louise Gibson, Nicola Cornally, Margaret Curtin
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引用次数: 0

摘要

可以利用儿童保健服务的父母经验来了解其价值,并优化在关键发展时期向家庭提供的支助。文献中存在关于父母对相关儿童发展支持的看法的差距,特别是在贫困地区。本研究调查了爱尔兰弱势地区社区儿科诊所(Kidscope)与相关多机构支持的影响和价值的家长经验。采用定性分析设计,对10名家长进行一对一访谈。社区谘询小组就访谈时间表提供意见。数据是按照布劳恩和克拉克的框架进行主题分析的。共有5个主题和22个副主题。Kidscope的多机构联动方法在吸引家庭参与、解决发育迟缓问题、支持教育准备以及发展亲子关系方面很有价值。关系工作和以儿童和家庭为中心的照料模式使父母能够成为儿童健康的积极推动者。2019年冠状病毒病、国家医疗保健赤字和人员流动阻碍了服务的提供。Kidscope和相关支持机构合作,消除被排除在医疗保健之外对弱势儿童和家庭的影响。这项研究为围绕弱势儿童和家庭设计的有效综合儿科服务提供模式提供了证据,并突出了有待改进的领域。
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Parent perspectives of engaging with a community paediatric clinic with linked child development supports in a disadvantaged area of Ireland.

Parent experiences of child health services can be used to understand their value and optimise the support provision to families during critical developmental periods. A gap in the literature exists regarding parental perspectives of linked child development supports, particularly in disadvantaged areas. This study examined parent experiences of the impact and value of a community paediatric clinic (Kidscope) with linked, multi-agency supports in a disadvantaged area of Ireland. Using a qualitative analysis design, 10 parents participated in one-to-one interviews. A Community Advisory Group consulted on interview schedules. Data was thematically analysed in line with Braun & Clarke's Framework. Five themes and twenty-two sub-themes emerged. Kidscope's linked, multi-agency approach was valuable for engaging families, addressing developmental delay, supporting readiness for education, and developing parent-child relationships. Relational working and a child and family centred model of care empowered parents to become active agents in children's health. Coronavirus disease 2019, national deficits in healthcare, and staff turnover impeded service delivery. Kidscope and linked supports work in partnership to disrupt the impact exclusion from healthcare has on vulnerable children and families. This study provides evidence of an effective integrated paediatric service delivery model designed around vulnerable children and families and highlights areas for improvement.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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