机构走进家庭：瑞典儿童保健护士对新生儿父母进行家访。
The institution enters the family home: home visits in Sweden to new parents by the child health care nurse.
作者信息
Baggens Christina A L
机构信息
Department of Communications Studies, Linköping University, Sweden.
出版信息
J Community Health Nurs. 2004 Spring;21(1):15-27. doi: 10.1207/s15327655jchn2101_2.
The purpose of this study is to investigate interactional patterns in the dialogue that occurs during home visits of the nurse to new parents, to find out whether there are similarities between home visits and visits to the child health care centers, and to discuss this in relation to what is emphasized as important in home visits. Audiotaped conversations of encounters during 5 home visits to new parents and interviews with parents and nurses were collected and analyzed qualitatively. Results show that the interactions were orchestrated by the nurse, and operated on an agenda that was task-oriented. The interaction was dominated by the nurse, and thus was asymmetrical. It seemed that the nurse was attentive to what the parents brought up in the discussions and responded to their worries very thoroughly, in accordance with the ideology. However, sometimes the parents were not even involved in the nurse's activities.
本研究的目的是调查护士对初为父母者进行家访时对话中的互动模式，以查明家访与儿童保健中心就诊之间是否存在相似之处，并结合家访中强调的重要事项对此进行讨论。收集了对初为父母者进行5次家访时的会面录音对话以及对父母和护士的访谈，并进行了定性分析。结果表明，互动由护士精心安排，按照以任务为导向的议程进行。互动由护士主导，因此是不对称的。按照理念，护士似乎留意到了父母在讨论中提出的问题，并非常全面地回应了他们的担忧。然而，有时父母甚至未参与到护士的活动中。
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