The Patient Experience of Adolescents With Traumatic Injuries: Recommendations for Improvement.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-05-01 DOI:10.1097/JHM-D-22-00172

Emma McCord, Joseph H Ballard, Carol A Mills, Elhaam Bandali, Teresa M Bell, Olena Mazurenko

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引用次数: 0

Abstract

Goal: Positive patient experience is associated with less healthcare utilization, better treatment adherence, increased likelihood of returning to the same hospital, and fewer complaints. However, hospitals have been able to collect few insights into the experiences of pediatric patients due to age limitations. As an exception to that reality, adolescents (aged 12-20 years) are able to share their experiences and recommend improvements, yet little is known about their hospital experiences with traumatic injuries. We examined the patient experience of adolescents with traumatic injuries and collected their recommendations for improving care.

Methods: We conducted 28 semistructured interviews with English-speaking adolescents hospitalized at two trauma Level 1 hospitals (pediatric and adult) for physical injuries from July 2018 to June 2021. Interviews were transcribed and analyzed using modified thematic analysis.

Principal findings: The patients expressed three basic desires: (1) autonomy and active involvement in their care, (2) human connections with their clinicians, and (3) minimal discomfort. Study participants provided actionable recommendations for improving the patient experience for adolescents with traumatic injuries.

Practical applications: Hospital administrators and clinicians can improve the patient experience for adolescents in their care by sharing information, expectations, and goals with them. Hospital administrators can also empower the clinical staff to connect with adolescents with traumatic injuries on a personal level.

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青少年创伤性损伤的患者经验:改进建议。

目标:积极的患者体验与更少的医疗保健利用率、更好的治疗依从性、更大的重返同一家医院的可能性和更少的投诉相关。然而，由于年龄的限制，医院能够收集到的关于儿科患者经历的见解很少。作为这一现实的一个例外，青少年(12-20岁)能够分享他们的经验并提出改进建议，但人们对他们在创伤性损伤方面的住院经历知之甚少。我们检查了青少年创伤性损伤的患者经验，并收集了他们对改善护理的建议。方法:2018年7月至2021年6月，我们对两家创伤一级医院(儿科和成人)因身体损伤住院的英语青少年进行了28次半结构化访谈。访谈记录和分析使用改进的专题分析。主要发现:患者表达了三个基本愿望:(1)自主和积极参与他们的护理;(2)与临床医生建立人际关系;(3)最小的不适。研究参与者提供了可行的建议，以改善患者的经验，青少年创伤性损伤。实际应用:医院管理人员和临床医生可以通过与青少年分享信息、期望和目标来改善他们的护理体验。医院管理者还可以授权临床工作人员在个人层面上与遭受创伤的青少年建立联系。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.