שימוש בפרקטיקה מבוססת ראיות לצורכי פיתוח, הטמעה, ויישום הערכה פסיכו-סוציאלית במחלקת שיקום ילדים

Translated title of the contribution: Utilization of Evidence-Based Clinical Practices for the Development, Assimilation, and Implementation of Psychosocial Assessment in a Pediatric Rehabilitation Department

יערה שדה, תמר זילברג-סלמון, דינה אלעד, פנינה ליבר, ונדי חן, רחל דקל, דפנה גוטמן, עמיחי ברזנר, ז'אנה לנדה

Research output: Contribution to journalArticlepeer-review

Abstract

Background: In health systems, there is little evidence regarding the processes by which evidence-based assessments and screenings are integrated into clinical practice.Aim: The current study aimed to describe the development, assimilation, and implementation of an evidence-based psychosocial assessment within a pediatric rehabilitation department where children undergo treatment after traumatic medical events.Method: The article describes a two-stage process for developing and integrating evidence-based assessment: first, preparation work conducted in collaboration with the Rehabilitation Department stakeholders; second, the development of a support system for the early stages of implementation. A psychosocial assessment was conducted among 436 families based on the following questionnaires: Child’s posttraumatic stress symptoms (PTSS) (child self-report, parent report, therapist report); parents’ PTSS (mother and father self-reports, therapist report); and a psychosocial assessment tool (PAT) (parent report) for the screening of psychosocial risk factors. Findings: Families and department staff collaborated in the process of assimilating the psychosocial assessment protocol. The evaluation findings indicated that 29% of the children, about 25.7% of the mothers, and about 18% of the fathers reported PTSS above the clinical threshold. The three-tiered level of risk revealed that 47% of the families were classified as low-risk (universal), 39% as moderate risk (targeted), and 14.5% as high-risk (clinical).Conclusions: It is essential to integrate clinical knowledge and the latest evidence from the literature, as well as to consider patients’ attitudes and perceptions when performing psychosocial assessments in pediatric rehabilitation departments. In the public health system, this integration is crucial for making professional therapeutic decisions based on the latest evidence.
Translated title of the contributionUtilization of Evidence-Based Clinical Practices for the Development, Assimilation, and Implementation of Psychosocial Assessment in a Pediatric Rehabilitation Department
Original languageHebrew
Pages (from-to)258-276
Number of pages19
Journalחברה ורווחה: רבעון לעבודה סוציאלית
Volumeמ"א
Issue number2
StatePublished - 2021
Externally publishedYes

IHP Publications

  • ihp
  • Adjustment (Psychology)
  • Children -- Hospital care
  • Evaluation
  • Measurement
  • Medical rehabilitation
  • Medical social work
  • Parent and child
  • Post-traumatic stress disorder in children
  • Psychic trauma in children
  • Sick children -- Family relationships
  • Sick children -- Psychology
  • Social workers
  • Wounds and injuries
  • אירועים רפואיים טראומטיים
  • אשפוז ילדים
  • גורמי סיכון
  • הורים וילדיהם החולים
  • הסתגלות (פסיכולוגיה)
  • טראומה בילדים
  • טראומה גופנית
  • ילדים חולים -- היבטים פסיכולוגיים וחברתיים
  • מדידה והערכה
  • עבודה סוציאלית נתמכת ראיות
  • עובדים סוציאליים
  • שיקום פסיכו-סוציאלי
  • שיקום רפואי
  • שירותי רווחה לחולים
  • תוכניות התערבות פסיכו-סוציאליות
  • תסמונת פוסט-טראומטית בילדים

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