Coyne Imelda, Cowley Sarah
BSc Programme Director, Lecturer in Children's Nursing, School of Nursing, Dublin City University, Dublin.
Int J Nurs Stud. 2007 Aug;44(6):893-904. doi: 10.1016/j.ijnurstu.2006.03.002. Epub 2006 Apr 25.
Parent participation is viewed as a pivotal concept to the provision of high quality nursing care for children and their families. Since the 1990's, the term 'partnership with parents' has increasingly been reported in the literature and adopted as a philosophy of care in most paediatric units in the United Kingdom.
To explore children's, parents', and nurses' views on participation in care in the healthcare setting.
Using grounded theory, data were collected through in-depth interviews, and participant observation. Sample consisted of eleven children, ten parents and twelve nurses from four paediatric wards in two hospitals in England.
Most nurses assumed that parents would participate in care and viewed their role as facilitators rather than 'doers'. Nurses reported that the ideology of partnership with parents did not accurately reflect or describe their relationships with parents. Parents could never be partners in care as control of the boundaries of care rested with the nurses. Parents felt compelled to be there and to be responsible for their children's welfare in hospital.
The pendulum of parent participation has swung from excluding parents in the past to making parents feel total responsibility for their child in hospital. It is argued that the current models or theories on parent participation/partnership are inappropriate or inadequate because they do not address important elements of children's, parents' and nurses' experiences in hospital.
家长参与被视为为儿童及其家庭提供高质量护理的关键概念。自20世纪90年代以来，“与家长合作”这一术语在文献中越来越多地被提及，并在英国大多数儿科病房中被采纳为一种护理理念。
探讨儿童、家长和护士对在医疗环境中参与护理的看法。
采用扎根理论，通过深入访谈和参与观察收集数据。样本包括来自英格兰两家医院四个儿科病房的11名儿童、10名家长和12名护士。
大多数护士认为家长会参与护理，并将自己的角色视为促进者而非“执行者”。护士们报告说，与家长合作的理念并不能准确反映或描述他们与家长的关系。家长永远不可能成为护理中的合作伙伴，因为护理界限的控制权掌握在护士手中。家长们觉得自己必须到场并为孩子在医院的福利负责。
家长参与的天平已从过去排斥家长转向让家长对孩子在医院的情况承担全部责任。有人认为，当前关于家长参与/合作的模式或理论不合适或不充分，因为它们没有涉及儿童、家长和护士在医院经历的重要方面。
