Four-round modified e-Delphi using online questionnaires and feedback among clinical and research experts.
Ambulatory care in high-income countries.
Forty-one experts from 13 countries: 3 emergency physicians, 15 general practitioners, 4 nurses and 19 paediatricians.
The experts defined the content of SNA as advice on the normal, expected disease course of the provisional diagnosis, diagnostic uncertainty, alarm signs that indicate the need for medical help and information on where and how to find such help. Regarding the form of the SNA, the experts agree that a reliable source should give SNA verbally with paper or digital written or video/image resources at every appropriate healthcare encounter in a short and simple empowering fashion, specific to the child\'s situation and seek confirmatory feedback from parents.
SNA needs to contain advice on the expected disease course, alarm signs and where and how to find help. It should be given verbally with written resources by a reliable healthcare professional or digital platform. Short, simple and specific, SNA needs to empower the parent whose understanding of the advice should be checked. The effectiveness of SNA resources coproduced by parents and experts should be assessed in different settings and those providing SNA require up-to-date and reliable training.
方法:使用在线问卷和临床和研究专家的反馈进行四轮改良的e-Delphi。
方法:高收入国家的门诊护理。
方法:来自13个国家的41名专家:3名急诊医师,15名全科医生,4名护士和19名儿科医生。
结果:专家将SNA的内容定义为对正常,临时诊断的预期病程,诊断不确定性,警报信号,表明需要医疗帮助以及在哪里以及如何找到此类帮助的信息。关于国民账户体系的形式,专家们一致认为,可靠的来源应在每次适当的医疗保健会议上以简短而简单的授权方式口头向SNA提供纸质或数字书面或视频/图像资源,具体到孩子的情况,并寻求父母的确认反馈。
结论:SNA需要包含有关预期病程的建议,警报信号以及在哪里以及如何找到帮助。它应该由可靠的医疗保健专业人员或数字平台口头提供书面资源。短,简单而具体,SNA需要授权应检查其对建议的理解的父母。父母和专家共同制作的国民账户体系资源的有效性应在不同的环境中进行评估,提供国民账户体系的资源需要最新和可靠的培训。