140 lines
4.8 KiB
YAML
140 lines
4.8 KiB
YAML
abstract: 'BackgroundChild Life Specialists (CLSs) are psychosocial care
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professionals of child development and health who focus on the
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individual needs and rights of young patients. CLSs accompany sick
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children and focus on the children''s perspective and their reality of
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life. CLS programs are already established in clinical settings in the
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United States and other Anglophone countries but have not yet been
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piloted in the German health care setting, neither has their
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implementation been evaluated in this context. This study aimed to
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explore the factors influencing the implementation of a pilot CLS
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program in pediatric inpatient care at the Dr. von Hauner Children''s
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Hospital at the University Hospital of Munich, Germany. MethodsBuilding
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on methods commonly employed in the evaluation of complex interventions,
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we developed a logic model to guide the process evaluation of our
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program. Semi-structured interviews with four groups of stakeholders
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were conducted in person or via videoconferencing between June 2021 and
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January 2022. Data was analyzed collectively using the method of
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qualitative content analysis by Mayring. ResultsFifteen individual
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interviews were conducted with patients (children aged 5-17 years, n =
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4), parents (n = 4), CLSs (n = 4) and other health professionals (n =
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3). Factors influencing the implementation were identified on three
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levels: system, staff and intervention. On the system level, a clearer
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definition of CLSs'' tasks and responsibilities was perceived as
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important and would likely lead to a delineation from other
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(psychosocial) professions and a reduction of potential resistances. On
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the staff level, lacking training opportunities and feelings of being
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insufficiently skilled were limiting the CLSs professional
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self-confidence. On the intervention level, the emergence of a unique
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characteristic of the CLSs'' work (i.e., preparation for medical
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procedures) supported the acceptance of the new program. ConclusionsThe
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implementation of a CLS program into an established hospital system with
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existing psychosocial care services is challenging. Our results
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contribute to a better understanding of implementation processes of such
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an additional psychosocial care approach and provide recommendations for
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addressing upcoming challenges.'
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affiliation: 'Hummel, J (Corresponding Author), Ludwig Maximilians Univ LMU Munich,
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Univ Hosp, Dr Hauner Childrens Hosp, Dept Pediat Surg, Munich, Germany.
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Hummel, J (Corresponding Author), Ludwig Maximilians Univ Munchen, Inst Med Data
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Proc Biometr \& Epidemiol IBE, Fac Med, Chair Publ Hlth \& Hlth Serv Res, Munich,
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Germany.
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Hummel, J (Corresponding Author), Pettenkofer Sch Publ Hlth, Munich, Germany.
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Hummel, Julia; Clark, Holly; Klein, Christoph; Voigt-Blaurock, Varinka, Ludwig Maximilians
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Univ LMU Munich, Univ Hosp, Dr Hauner Childrens Hosp, Dept Pediat Surg, Munich,
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Germany.
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Hummel, Julia; Voss, Stephan; Coenen, Michaela; Rehfuess, Eva A.; Zu Rhein, Valerie;
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Jung-Sievers, Caroline, Ludwig Maximilians Univ Munchen, Inst Med Data Proc Biometr
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\& Epidemiol IBE, Fac Med, Chair Publ Hlth \& Hlth Serv Res, Munich, Germany.
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Hummel, Julia; Voss, Stephan; Coenen, Michaela; Rehfuess, Eva A.; Zu Rhein, Valerie;
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Jung-Sievers, Caroline, Pettenkofer Sch Publ Hlth, Munich, Germany.'
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article-number: '1178871'
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author: Hummel, Julia and Voss, Stephan and Clark, Holly and Coenen, Michaela and
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Klein, Christoph and Rehfuess, Eva A. and Zu Rhein, Valerie and Voigt-Blaurock,
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Varinka and Jung-Sievers, Caroline
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author-email: jhummel@ibe.med.uni-muenchen.de
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author_list:
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- family: Hummel
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given: Julia
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- family: Voss
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given: Stephan
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- family: Clark
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given: Holly
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- family: Coenen
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given: Michaela
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- family: Klein
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given: Christoph
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- family: Rehfuess
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given: Eva A.
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- family: Zu Rhein
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given: Valerie
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- family: Voigt-Blaurock
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given: Varinka
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- family: Jung-Sievers
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given: Caroline
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da: '2023-09-28'
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doi: 10.3389/fped.2023.1178871
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files: []
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issn: 2296-2360
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journal: FRONTIERS IN PEDIATRICS
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keywords: 'child life specialist; complex intervention; influencing factors; logic
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model; pediatric psychosocial care; process evaluation; qualitative
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interviews'
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keywords-plus: 'COMPLEX INTERVENTIONS; POSTTRAUMATIC STRESS; FACILITATORS; BARRIERS;
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ANXIETY'
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language: English
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month: JUN 7
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number-of-cited-references: '40'
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papis_id: 1a43df3bfd59a9604b1f88411393cdf6
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ref: Hummel2023implementingpsychoso
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times-cited: '0'
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title: 'Implementing a psychosocial care approach in pediatric inpatient care: process
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evaluation of the pilot Child Life Specialist program at the University Hospital
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of Munich, Germany'
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type: article
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unique-id: WOS:001010197200001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '11'
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web-of-science-categories: Pediatrics
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year: '2023'
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