Transition from pediatric to adult health care for young adults with neurological disorders: parental perspectives.
Notice bibliographique
Résumé
PURPOSE: With advances in pediatric health care, many adolescents with complex chronic neurological conditions live well into adulthood. As such, the movement toward adult health care services is an expected and desired outcome of pediatric care. When the young adult has an intellectual impairment in addition to a complex chronic neurological condition, parental involvement is critical in the transition process, as these young adults are unable to make informed decisions independently and require significant guidance from caregivers. Thus, the transition process should address not only the direct health care needs of the young adult, but also the needs and concerns of the parents who are instrumental in guiding that process. The objective of this study was to identify salient issues confronting these parents. METHODS: A qualitative interpretive design was used to gain an in-depth understanding of parents'perceptions of their young adults' transition process from a pediatric to an adult health care setting. Data were analyzed using the constant comparative method, in which interview data were simultaneously collected and analyzed throughout the data collection process. Purposive sampling was used to interview 17 parents of 11 young adults who had transitioned to an adult health care setting. RESULTS: Findings suggest that parents perceived a tremendous sense of abandonment from the heath care team during the transition process. They experienced a sense of loss, fear and uncertainty, as they navigated the transition of their young adult. Parents believed that what hindered the transition process was a lack of sufficient coordination within the health care system, the vulnerability of the young adult at the time of transition, the lack of appropriate resources in the adult health care system given the unique and multifaceted needs of the young adult, and their own tenuous health status. The transition process was felt to be facilitated by the parent's resourcefulness, family support and ability to establish new relationships within the adult health care setting. CONCLUSIONS: This study has provided a greater understanding of parental perceptions of transition care for young adults with a complex chronic neurological disorder who have an intellectual impairment. The emotional toll on the parents is tremendous and requires thoughtful consideration when planning the transition process for these young adults. Although all parents acknowledged the hardships and adversity they faced during the process were immense, they all felt that with better guidance and improved resources, the experience for future families could be a positive and satisfying experience.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,003 | 0,002 |
| Communication savante | 0,002 | 0,002 |
| Science ouverte | 0,000 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».