Call to focus on digital health technologies in hospitalized children's pain care: clinician experts' qualitative insights on optimizing electronic medical records to improve care

生物心理社会模型 医疗保健 定性研究 医学 焦点小组 病历 护理部 梅德林 家庭医学 精神科 业务 法学 营销 经济 政治学 社会学 放射科 经济增长 社会科学
作者
Nicole Pope,Ligyana Korki de Cândido,Dianne Crellin,Greta M Palmer,Mike South,Denise Harrison
出处
期刊:Pain [Ovid Technologies (Wolters Kluwer)]
卷期号:164 (7): 1608-1615 被引量:3
标识
DOI:10.1097/j.pain.0000000000002863
摘要

Abstract Most hospitalized children experience pain that is often inadequately assessed and undertreated. Exposure to undertreated childhood pain is associated with negative short-term and long-term outcomes and can detrimentally affect families, health services, and communities. Adopting electronic medical records (EMRs) in pediatric hospitals is a promising mechanism to transform care. As part of a larger program of research, this study examined the perspectives of pediatric clinical pain experts about how to capitalize on EMR designs to drive optimal family-centered pain care. A qualitative descriptive study design was used and 14 nursing and medical experts from 5 countries (United States, Canada, United Kingdom, Australia, and Qatar) were interviewed online using Zoom for Healthcare. We applied a reflexive content analysis to the data and constructed 4 broad categories: “capturing the pain story,” “working with user-friendly systems,” “patient and family engagement and shared decision making,” and “augmenting pain knowledge and awareness.” These findings outline expert recommendations for EMR designs that facilitate broad biopsychosocial pain assessments and multimodal treatments, and customized functionality that safeguards high-risk practices without overwhelming clinicians. Future research should study the use of patient-controlled and family-controlled interactive bedside technology to and their potential to promote shared decision making and optimize pain care outcomes.
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