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A Participatory Case Study on Youth's Emergency Department Experience through Youth Engagement as a Change Agent

机译：通过参与青年作为变革推动者参与青年急诊部门经验的参与式案例研究

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摘要

My doctoral research involved a participatory case study (PCS) on youth's emergency department (ED) experiences through youth engagement as a change agent. One of the vulnerable populations in our society, namely, street-involved (SI) youth, was the focus of the research. An innovative PCS approach allowed me to engage, learn from, and be guided by SI youth in order to gain insights into how the ED can become more accountable to respectfully meet SI youth's unique, complex needs. The overarching research question was: How can SI youth contribute to improving their ED experience using a youth engagement approach?;Fourteen youths (including 12 of Aboriginal descent) participated in art work, individual interviews, and a focus group to offer insights into SI youth's lived experiences of treatment and care in EDs. Overarching themes supported through content and thematic analysis of the data included: gaps in health care, lack of food, commonality of substance use among SI youth, and perceived lack of communication. Implications from this research suggest a recommendation that Alberta Health Services (AHS) should put forth overarching mandates for youth in care, specifically, the need for more youth-centric actions of EDs to more respectfully reflect SI youth's unique characteristics and day-to-day experiential challenges in order to facilitate positive outcomes for ED youth care. SI youth participants' recommendations to transform the ED experience included: better, more respectful communication from ED staff about all aspects of care, wait times, and discharge instructions; strategies to allow food for SI youth without cost, as well as free prescriptions; and involving youth as facilitators to be change agents in EDs. Overall, not only do the findings highlight the importance of respect and non-judgmental attitude toward SI youth among ED health professionals and policy-makers, but these also remind those professionals/policy-makers of the need and willingness to learn from and engage with the SI youth in a respectful, youth-centred way in order to provide more effective communication, interaction, and care with and for the SI youth.
机译：我的博士研究涉及参与青年案例研究（PCS），涉及青年急诊科（ED）通过青年参与变革推动者的经历。该研究的重点是我们社会中的弱势群体之一，即流浪街头青年。创新的PCS方法使我能够参与SI青年，从中学习并得到SI青年的指导，以深入了解ED如何能够更负责任地尊重SI青年独特而复杂的需求。最主要的研究问题是：SI青年如何使用青年参与方法来改善他们的ED体验？； 14名青年（包括12名原住民血统）参加了艺术作品，个人访谈和一个焦点小组，以提供有关SI青年的见解的见解。急诊部的治疗和护理经验。数据内容和主题分析所支持的总体主题包括：卫生保健方面的差距，食物短缺，SI青年之间物质使用的普遍性以及缺乏沟通。该研究的意义暗示了一项建议，即艾伯塔省卫生服务（AHS）应该对青年护理提出总体要求，特别是需要采取更多以青年为中心的急诊室行动，以更加尊重地反映SI青年的独特特征和日常工作。体验挑战，以促进ED青年护理的积极成果。 SI青年参与者对改变ED体验的建议包括：ED员工在护理，等待时间和出院指示的各个方面进行更好，更尊重的沟通；采取战略使SI青年免费获得食物，并免费提供处方；并让青年人成为教育署的变革推动者。总体而言，研究结果不仅突显了ED卫生专业人员和决策者对SI青年的尊重和非判断态度的重要性，而且还提醒那些专业人员/政策制定者学习和与之互动的必要性和意愿。以尊重，以青年为中心的方式，向SI青年提供与SI青年之间的更有效的沟通，互动和关怀。

著录项

  • 作者

    Whelan, Trish Mary.;

  • 作者单位

    Royal Roads University (Canada).;

  • 授予单位 Royal Roads University (Canada).;
  • 学科 Social sciences education.;Public health education.;Health sciences.
  • 学位 D.Soc.Sc.
  • 年度 2018
  • 页码 152 p.
  • 总页数 152
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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