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Implementation of a Parent-Generated Electronic Family Health History Tool in an Urban Pediatric Primary Care Setting

Bender, Patricia Lynn

Abstract Details

2018, Doctor of Nursing Practice Degree Program in Population Health Leadership DNP, Xavier University, Nursing.
As the United States (U.S.) health care system moves towards a health promotion model, identifying those at risk for common health conditions is crucial. Comprehensive family health history (FHH) data collection and analysis has been proposed as a low cost, highly efficient and effective way to screen for common health conditions. However, patients' electronic health records (EHRs) currently do not contain enough FHH information to adequately assess for health risks. The purpose of this DNP Scholarly project was to implement a parent completed electronic family health history (eFHH) tool in a socially disadvantage, pediatric population receiving care in an urban primary care clinic. A descriptive observation study design was used to evaluate parents' use of My Family Health Portrait (MFHP), an eFHH tool. Forty parent participants were observed for ease of MFHP use to determine the feasibility of using a parent completed FHH tool. The majority of parents (85%) were able to complete the MFHP tool prior to completing provider evaluations, with 70% of parents completing a four generation family history assessment using MFHP. Facilitators for completion included: desire to enter their own information, perceived positive benefit, ease of use, internet access and enjoyed entering information. Barriers to completing the MFHP tool were: program was not intuitive, issues with unknown information, clinic interruptions, complexity of health categories, and the tool is not pediatric focused. Results support the possibility of using a parent-generated electronic family health history tool in a pediatric care setting.
Elizabeth Bragg, PhD (Committee Chair)
Kelly Bohnhoff, PhD (Committee Member)
106 p.

Recommended Citations

Citations

  • Bender, P. L. (2018). Implementation of a Parent-Generated Electronic Family Health History Tool in an Urban Pediatric Primary Care Setting [Doctoral dissertation, Xavier University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=xavier152530043518729

    APA Style (7th edition)

  • Bender, Patricia. Implementation of a Parent-Generated Electronic Family Health History Tool in an Urban Pediatric Primary Care Setting. 2018. Xavier University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=xavier152530043518729.

    MLA Style (8th edition)

  • Bender, Patricia. "Implementation of a Parent-Generated Electronic Family Health History Tool in an Urban Pediatric Primary Care Setting." Doctoral dissertation, Xavier University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=xavier152530043518729

    Chicago Manual of Style (17th edition)