儿科临床医生就不同幼儿的社会情感和发育问题进行沟通的策略可能产生的意外后果。

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Courtney L Scherr, Hannah Getachew-Smith, Sydney Moe, Ashley A Knapp, Allison J Carroll, Nivedita Mohanty, Seema Shah, Andrea E Spencer, Rinad S Beidas, Lauren S Wakschlag, Justin D Smith
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引用次数: 0

摘要

介绍:通过筛查来促进幼儿的社交情绪健康对幼儿的长期健康和功能有积极影响。由于缺乏时间、培训和专业知识、资源限制和认知负担等各种原因,有关社会情感健康的沟通对于初级保健临床医生来说可能具有挑战性。因此,我们探讨了临床医生在识别幼儿社会情感风险并与照顾者沟通方面的观点:2021 年,我们对在一个大都市地区的联邦合格卫生中心执业的儿科临床医生(N = 20)进行了半结构化访谈。大多数参与者为女性(n = 15;75%)、非西班牙裔/拉美裔白人(n = 14;70%)、医学博士或骨科医生(n = 14;70%)。对录音访谈记录进行了主题分析:结果:临床医生采用了各种方法来识别社会情感问题,这些问题有时很难与其他发育问题区分开来。临床医生与照护者之间的关系指导了识别和沟通方法,并贯穿了各个主题。主题包括:从照顾者的关注点入手,以数据和敏感性传达关注点,驾驭标签、文化和污名,以及根据家庭能力和兴趣限制沟通:优先考虑临床医生与护理者之间的关系符合最佳实践和以家庭为中心的护理原则。然而,标准化决策支持的缺乏可能会削弱临床医生的信心,并阻碍就社会情感问题进行及时对话。一种以证据为基础的方法,加上以发展为基础、以文化为依据的定量工具和标准化决策支持,有助于确保对幼儿的社交和情感福祉及发展进行公平的管理和决策。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Possible unintended consequences of pediatric clinician strategies for communicating about social-emotional and developmental concerns in diverse young children.

Introduction: Screening to promote social-emotional well-being in toddlers has positive effects on long-term health and functioning. Communication about social-emotional well-being can be challenging for primary care clinicians for various reasons including lack of time, training and expertise, resource constraints, and cognitive burden. Therefore, we explored clinicians' perspectives on identifying and communicating with caregivers about social-emotional risk in toddlers.

Method: In 2021, semistructured interviews were conducted with pediatric clinicians (N = 20) practicing in Federally Qualified Health Centers in a single metropolitan area. Most participants identified as female (n = 15; 75%), white non-Hispanic/Latino (n = 14; 70%), and were Doctors of Medicine or Osteopathic Medicine (n = 14; 70%). Thematic analysis was conducted on audio-recorded interview transcripts.

Results: Clinicians used various approaches to identify social-emotional concerns which were sometimes difficult to distinguish from other developmental concerns. The clinician-caregiver relationship guided identification and communication practices and cut-across themes. Themes include: starting with caregivers' concerns, communicating concerns with data and sensitivity, navigating labels, culture, and stigma, and limiting communication based on family capacity and interest.

Discussion: Prioritizing the clinician-caregiver relationship is consistent with best practice and family-centered care. Yet, the dearth of standardized decision support may undermine clinician confidence and impede timely conversations about social-emotional concerns. An evidence-based approach with developmentally based culturally informed quantitative tools and standardized decision supports could help ensure equitable management and decision making about young children's social and emotional well-being and development. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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