The Barriers to Shared Decision-making in Exercise Prescription for Children With Asthma: A Qualitative Study From Parents' Perspective.

Autor: Yi M, Jia Y, Zhao B, Chen O
Jazyk: angličtina
Zdroj: Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners [J Pediatr Health Care] 2024 Sep-Oct; Vol. 38 (5), pp. 666-676. Date of Electronic Publication: 2024 Feb 03.
DOI: 10.1016/j.pedhc.2024.01.001
Abstrakt: Introduction: The knowledge of barriers from the parental perspective is essential for facilitating shared decision-making in the field of pediatric asthma.
Method: Participants who were parents of children with a diagnosis of asthma were recruited, and in-depth, semistructured interviews were conducted. The interview transcripts were analyzed thematically using framework methods.
Results: Seventeen participants undertook interviews. Three themes and nine subthemes emerged: (1) decision-making need level-limited understanding of decision-making knowledge, ambiguity regarding self-empowerment roles, and lack of family member support; (2) decision-making support level-insufficient ability to evaluate information, inefficient communication with health care professionals, and excessive use of professional terminology; and (3) decision-making outcome level-doubts about the final decision-making choices, time constraints on decision-making, and absence of mechanisms to track decisions made.
Discussion: The findings would serve as crucial foundations for the development of decision-aid programs within the context of pediatric asthma.
Competing Interests: CONFLICTS OF INTEREST None to report. The authors are grateful to the participants who took part in the study, as well as the health care professionals in related hospitals who greatly facilitated and supported this research.
(Copyright © 2024 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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