Facilitators to implementing preventive health interventions for adolescents in the emergency department: A multicenter qualitative analysis.
Objectives: Adolescents frequently use the emergency department (ED) to meet their health care needs, and many use the ED as their primary source of care. The ED is therefore well situated to provide preventive health care to large numbers of adolescents. The objective of this multicenter qualitativ...
| Publicado en: | Academic Emergency Medicine Vol. 32; no. 4; pp. 434 - 444 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184801360&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184801360 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10696563 Z27 jtl: Academic Emergency Medicine issn: 10696563 maglogo: Y pubinfo: dt: Apr2025 vid: 32 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 184801360 180671038 184801360 184801360 10.1111/acem.15043 184801360 ppf: 434 ppct: 10 formats: tig: atl: Facilitators to implementing preventive health interventions for adolescents in the emergency department: A multicenter qualitative analysis. aug: au: Rutland, Emily Bugaighis, Mona Cruz, Andrea T. Goyal, Monika K. Mistry, Rakesh D. Reed, Jennifer L. Santelli, John S. Dayan, Peter S. Chernick, Lauren S. affil: Columbia Vagelos College of Physicians and Surgeons, New York New York,, USA sug: subj: Preventive Health Care Program Implementation Emergency Service Adolescent Health Implementation Science Program Evaluation Process Assessment (Health Care) Human Funding Source Male Female Adolescence Multicenter Studies Qualitative Studies Semi-Structured Interview Tertiary Health Care Health Promotion Conceptual Framework Pediatric Units Attitude of Health Personnel Audiorecording Thematic Analysis Stigma Prevention and Control Workflow Health Services Accessibility Diffusion of Innovation Adolescent: 13-18 years Male Female ab: Objectives: Adolescents frequently use the emergency department (ED) to meet their health care needs, and many use the ED as their primary source of care. The ED is therefore well situated to provide preventive health care to large numbers of adolescents. The objective of this multicenter qualitative analysis was to identify factors that influence the implementation of preventive health care interventions for adolescent patients in the ED. Methods: We conducted semistructured interviews with ED health care providers (HCPs) from five academic pediatric EDs in distinct geographic regions. We developed an interview guide to explore HCP attitudes and beliefs related to implementing preventive health interventions in the ED. Interviews were recorded, transcribed, and coded by three investigators. The Consolidated Framework for Implementation Research (CFIR) was used as a guide to code and analyze interview data. We collaboratively generated themes that represent factors that are perceived to facilitate the implementation of preventive health interventions for adolescent patients in the ED setting. Results: We conducted 38 interviews (18 pediatric emergency medicine attendings/fellows, 11 registered nurses, five nurse practitioners, or and four physician assistants). We generated 10 themes across the five CFIR domains: innovation characteristics (designing interventions to promote adolescent engagement), inner setting (integrating interventions into ED workflow and scope, minimizing provider burden), outer setting (involving the community, aligning with departmental and institutional missions), individuals (identifying champions), and implementation process (involving key stakeholders early, having patience, and targeting all patients to reduce stigma). Conclusions: Factors facilitating implementation of preventive health interventions for adolescent patients in the ED encompassed multiple CFIR domains, elucidating how the delivery of preventive health interventions for this patient population in the ED requires considering numerous factors comprehensively. These data suggest methods to enhance and facilitate implementation of preventive health interventions for adolescents in the ED. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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