利用能力、机会和动机的行为模型来评估提供者在儿科康复中实施以解决方案为中心的目标设定的看法。

IF 1.3 4区 医学 Q3 NURSING
L Crawford, H Colquhoun, S Kingsnorth, D Fehlings, Nora Fayed
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引用次数: 0

摘要

在儿科康复中采用家庭和儿童目标设定对于取得积极的长期成果非常重要。以解决方案为中心的指导(SFC)被认为是一种很有前途的方法,可以确保这种类型的目标设定发生,而卫生保健提供者(HCPs)实际实施SFC的情况很低。本研究利用行为改变的能力、机会和动机模型(COM-B)来确定卫生保健提供者(HCPs)在儿科康复的SFC目标设定方面所认为的优势和困难。开展了一项自我报告调查,并对一家儿科康复医院的医务人员进行了调查。每个调查问题都基于COM-B子组件。从HCPs收集人口统计信息,并使用描述性统计将感知到的COM-B成分从最强到最弱排序。结果表明,HCPs认为提供SFC目标设定是一项重要的实践,同时他们也认为实际实施的困难在于:缺乏足够的个人技能,缺乏这类目标设定的经验,以及客户参与分享目标的准备不足。HCPs还认为缺乏组织流程来支持其团队内的实践。提出了干预建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using the capability, opportunity, and motivation model of behaviour to assess provider perception of implementing solution-focused goal-setting in paediatric rehabilitation.

Adoption of family and child goal-setting in paediatric rehabilitation is important to positive long-term outcomes. Solution-focused coaching (SFC) has been identified as a promising approach to ensuring this type of goal-setting occurs, while the actual implementation of SFC by health care providers (HCPs) is low. This study utilized the capacity, opportunity, and motivation model of behaviour change (COM-B) to identify which strengths and difficulties health care providers (HCPs) perceived with respect to SFC goal-setting in paediatric rehabilitation. A self-report survey was developed and administered to HCPs at a paediatric rehabilitation hospital. Each survey question was based upon a COM-B sub-component. Demographic information was collected from HCPs, and descriptive statistics were used to rank perceived COM-B components from strongest to weakest. Results indicate HCPs view the provision of SFC goal-setting as an important practice, while they also perceive difficulties to actual delivery due to: lack of adequate individual skill, lack of experience with this type of goal-setting, and insufficient preparation for clients to engage in sharing their goals. HCPs also perceived lack of organizational processes to support the practice within their teams. Recommendations for intervention are provided.

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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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