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Family-Centered practice in a Brazilian rehabilitation network service
Brazilian Journal of Physical Therapy ( IF 3.4 ) Pub Date : 2021-02-20 , DOI: 10.1016/j.bjpt.2021.02.003
Ana Amélia Moraes Antunes 1 , Daniela Virgínia Vaz 2
Affiliation  

Background

Family-centered practice (FCP) is widely accepted as a best practice in pediatric rehabilitation. However, its implementation in Brazil is incipient, and systematic documentation of the extent to which it has been achieved is not available.

Objectives

To determine parents’ and service providers’ perceptions of family-centeredness and specific areas in need of improvement in four rehabilitation hospitals.

Methods

A total of 107 caregivers and 89 service providers responded to the Measure of Processes of Care-20 (MPOC-20) and the Measure of Processes of Care for Service providers (MPOC-SP), respectively. The MPOC questionnaires evaluate FCP from the point of view of parents and rehabilitation professionals. Domain scores within each questionnaire were compared with Kruskal–Wallis and Mann–Whitney tests. MPOC items with low scores (from 1–4 out of 7 by 33% or more of respondents) were considered to indicate weaknesses in service delivery.

Results

Median MPOC-20 scores varied from 5.2 (4.7, 5.8) (Providing General Information) to 7.0 (6.0, 7.0) (Enabling and Partnership). The Providing General Information scores were significantly lower than those of other domains (p < 0.003). The MPOC-SP scores varied from 4.8 (4.0, 5.8) (Providing General Information) to 6.1 (5.8, 6.6) (Treating People Respectfully). Scores for Treating People Respectfully were significantly higher (p < 0.0001) and Providing General Information scores significantly lower (p < 0.0001) than those of the other domains. Most items with high percentages of low scores were from the domain Providing General Information.

Conclusion

Except for Providing General Information, the results indicated that services implement FCP “to a fairly great extent,” comparing favorably to international data. Provision of information can be improved.



中文翻译:

巴西康复网络服务中以家庭为中心的实践

背景

以家庭为中心的实践 (FCP) 被广泛接受为儿科康复的最佳实践。然而,其在巴西的实施尚处于初期阶段,尚无关于其实施程度的系统文件。

目标

确定父母和服务提供者对四家康复医院以家庭为中心的看法和需要改进的具体领域。

方法

共有 107 名护理人员和 89 名服务提供者分别对护理过程测量 20 (MPOC-20) 和服务提供者护理过程测量 (MPOC-SP) 做出了回应。MPOC 问卷从父母和康复专业人员的角度评估 FCP。每个问卷中的领域得分与 Kruskal-Wallis 和 Mann-Whitney 测试进行比较。低分的 MPOC 项目(7 分中的 1-4 分,33% 或更多的受访者)被认为表明服务提供方面存在弱点。

结果

MPOC-20 的中位数从 5.2(4.7、5.8)(提供一般信息)到 7.0(6.0、7.0)(支持和合作)不等。提供一般信息得分显着低于其他领域(p  < 0.003)。MPOC-SP 分数从 4.8 (4.0, 5.8)(提供一般信息)到 6.1 (5.8, 6.6)(尊重他人)不等。尊重 他人的 得分显着高于其他领域(p < 0.0001),提供一般信息的得分显着低于其他领域(p < 0.0001)。大多数具有高百分比低分的项目来自提供一般信息领域。

结论

除了提供一般信息外,结果表明服务“在相当大的程度上”实施了 FCP,与国际数据相比具有优势。可以改进信息的提供。

更新日期:2021-02-20
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