Dudley Sarah K, Carr Jeanine M
Fletcher Allen Health Care, Essex Junction, VT 05452, USA.
J Pediatr Nurs. 2004 Aug;19(4):267-75. doi: 10.1016/j.pedn.2004.05.008.
Although the incorporation of a family-centered model of care delivery and open visitation policies have supported parents at the bedside of hospitalized children, little research has been conducted exploring the daily experience of vigilant parents. The purpose of this qualitative ethnographic study was to explore the experience of vigilance and specifically to examine the meaning, patterns, and day-to-day rhythms of parents who stay at the bedside of their hospitalized children. Ten parents of hospitalized children on a general pediatric unit were purposively selected to participate in the study. Qualitative data analysis supported the themes generated by previous studies of vigilance: commitment to care, resilience, emotional upheaval, dynamic nexus, and transition (Carr & Clarke, 1997; Carr & Fogarty, 1999). The knowledge generated from this study helps to support the theoretical understanding of vigilance and enhances the ability of health care providers to provide care that is congruent with the needs of parents and their children.
尽管采用以家庭为中心的护理模式和开放探视政策为陪伴住院儿童的家长提供了支持,但对于时刻保持警觉的家长的日常经历,却鲜有研究。这项定性人种学研究的目的是探究警觉的体验,特别是考察陪伴住院子女的家长的警觉的意义、模式及日常节奏。研究特意选取了普通儿科病房中十位住院儿童的家长参与研究。定性数据分析支持了先前关于警觉的研究所产生的主题:护理承诺、恢复力、情绪动荡、动态关系及转变(卡尔和克拉克,1997;卡尔和福加蒂,1999)。本研究产生的知识有助于支持对警觉的理论理解,并提高医疗服务提供者提供符合家长及其子女需求的护理的能力。