青年促进者(YF)是在儿科康复团队中工作的具有儿童发病残疾的同伴服务提供商(SP)。这项研究探讨了YF的作用,重点是YF做什么工作,与角色整合过程相关的感知促进者和挑战,以及研究期间角色的演变。
纵向,定性案例研究方法用于通过访谈收集总共14个月的数据,焦点小组,工作负载日志,和观察。采用专题分析法对数据进行分析。
两个YF,23名SP和两名经理参与了这项研究。YFs的工作包括独立咨询,资源供应,推荐制作,和项目共同促进。分析产生了两个截然不同的主题。当被视为客户的代表时,YF被认为将客户观点带到护理中,增加临床服务的可信度,并通过角色建模赋予客户和家庭权力。然而,当被视为专业SP时,由于角色不明确,他们的专业知识受到质疑,生活经验的可概括性有限,和组织限制。
需要针对当地护理环境和组织支持的培训,以将YFs的经验知识转化为经验专业知识。我们提出了将同行提供者最佳整合到临床护理团队的策略。对康复的影响作为有残疾经历的同行服务提供者,青年促进者(YF)有可能通过促进客户和家庭的赋权来受益于儿科康复服务。YF的实践和培训范围应适应各个临床团队和当地护理环境,以帮助YF在跨学科团队中建立经验专业知识。建立YF的核心能力(例如,倡导,Coaching,和边界设置技能)可以帮助将他们的经验知识转化为经验专业知识。
Youth Facilitators (YFs) are peer service providers (SPs) with childhood-onset disabilities working in pediatric rehabilitation teams. This study explored the YF role focusing on what work YFs do, the perceived facilitators and challenges pertinent to the role integration process, and the evolution of the role over the study period.
A longitudinal, qualitative
case study approach was used to gather data over a total period of 14 months through interviews, focus groups, workload logs, and observations. Data were analyzed using the method of thematic analysis.
Two YFs, 23 SPs and two managers participated in the study. YFs\' work included independent consultation, resource provision, referral making, and program co-facilitation. Analysis produced two contrasting themes. When viewed as a representative of clients, YFs were considered bringing client perspectives to care, adding credibility to clinical services, and empowering clients and families through role modeling. However, when viewed as a professional SP, their expertise was questioned due to role unclarity, limited generalizability of lived experience, and organizational limitations.
Training tailored to local care contexts and organizational supports are needed to transform YFs\' experiential knowledge into experiential expertise. We propose strategies for optimal integration of peer providers into clinical care teams.Implications for rehabilitationAs peer service providers with lived experience of disabilities, Youth Facilitators (YFs) have the potential to benefit pediatric rehabilitation services by facilitating empowerment in clients and families as they navigate through life transitions.The YF scope of practice and training should be adapted to fit with individual clinical teams and local care contexts to help YFs establish their experiential expertise in interdisciplinary teams.Establishing YF\'s core competencies (e.g., advocacy, coaching, and boundary setting skills) can help transform their experiential knowledge into experiential expertise.