Espezel Hilary J E, Canam Connie J
Mental Health Research, University of British Columbia, c/o Children's and Women's Health Centre of British Columbia, Vancouver, British Columbia, Canada.
J Adv Nurs. 2003 Oct;44(1):34-41. doi: 10.1046/j.1365-2648.2003.02765.x.
An essential component of quality nursing care is nurses' ability to work with parents in the hospital care of their children. However, changes in the health care environment have presented nurses with many new challenges, including meeting family-centred care expectations.
To report a research study examining the experiences of parents who interacted with nurses in a hospital setting regarding the care of their children.
A qualitative approach was employed for this study. In-depth audiotaped interviews were conducted with eight parents representing seven families. Data collection was completed over a 7-month period in 2001.
Parents characterized their experiences with nurses caring for their children as interactions, and identified the elements of establishing rapport and sharing children's care as key to a positive perception of the interactions. These elements were influenced by parental expectations of nurses. Changes in nurses' approach were reported by parents as the children's conditions changed.
Nurses were able to work with families in the hospital care of their children in ways that parents perceived as positive. However, in parents' views, their interactions with nurses did not constitute collaborative relationships. A deeper understanding of these interactions may provoke new thinking about how to promote an agency's philosophy, and how nurses enact this philosophy in practice.
优质护理的一个重要组成部分是护士在医院照顾儿童时与家长合作的能力。然而,医疗保健环境的变化给护士带来了许多新挑战,包括满足以家庭为中心的护理期望。
报告一项研究,该研究调查了在医院环境中与护士就其子女护理进行互动的家长的经历。
本研究采用定性研究方法。对代表七个家庭的八位家长进行了深入的录音访谈。数据收集于2001年在7个月的时间内完成。
家长将他们与照顾其子女的护士的经历描述为互动,并将建立融洽关系和分享儿童护理的要素确定为对互动产生积极看法的关键。这些要素受到家长对护士期望的影响。家长报告说,随着孩子病情的变化,护士的方法也发生了变化。
护士能够以家长认为积极的方式在医院照顾儿童时与家庭合作。然而,在家长看来,他们与护士的互动并不构成合作关系。对这些互动的更深入理解可能会引发关于如何推广机构理念以及护士如何在实践中践行这一理念的新思考。