Experiences with and Outcomes of Two Interventions to Maximize Engagement of Chronically Ill Adolescents During Hospital Consultations: A Mixed Methods Study

被引：33
|
作者：
van Staa, AnneLoes [1 ,2 ]
Sattoe, Jane N. T. [1 ,2 ]
Strating, Mathilde M. H. [1 ]
机构：
[1] Erasmus Univ, Inst Hlth Policy & Management iBMG, Rotterdam, Netherlands
[2] Rotterdam Univ Appl Sci, Res Ctr Innovat Care, Rotterdam, Netherlands
来源：
JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES | 2015年 / 30卷 / 05期
关键词：
Quality Improvement program; independent consultations; confidentiality; self-management; Individual Transition Plans; adolescent transition; HEALTH-CARE TRANSITION; YOUNG-ADULTS; SELF-MANAGEMENT; EMERGING ADULTS; CHRONIC ILLNESS; GROWING-UP; READINESS; CONFIDENTIALITY; CHILDREN; PARENTS;
D O I：
10.1016/j.pedn.2015.05.028
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Improving patient-provider communication during hospital consultations is advocated to enhance self-management planning and transition readiness of adolescents with chronic conditions. This longitudinal mixed methods study evaluates the implementation and the outcomes of independent split-visit consultations and individual transition plans by 22 hospital teams participating in the Dutch Action Program 'On Your Own Feet Ahead!'. The interventions raised awareness in adolescents and professionals, improved adolescents' display of independent behaviors and led to more discussions about non-medical issues. Successful implementation required a team-based approach and clear explanation to parents and adolescents. Pediatric nurses played a pivotal role in improving transitional care. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码：757 / 775
页数：19
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