Power Nina, Franck Linda
UCL Institute of Child Health, London, UK.
J Adv Nurs. 2008 Jun;62(6):622-41. doi: 10.1111/j.1365-2648.2008.04643.x.
This paper is a report of a systematic literature review of research on parent participation in the care of hospitalized children.
Research prior to 1994 found that parents want to participate in basic child care activities normally performed at home. Nurses expected parents to participate in these activities but were reluctant for parents to take on technical roles. Further research has been conducted over the last decade, but has not been systematically reviewed.
A search of biomedical research, published between January 1994 and June 2006, was conducted using the databases CINAHL, PsychInfo, Embase and Medline. The search terms related to parents, participation and hospitalized children.
A systematic review was conducted and study findings were extracted, summarized and critiqued in relation to their contribution to knowledge about parent participation.
Twenty-one descriptive studies were found which investigated the following dimensions of parent participation: parents' and healthcare professionals' needs, desires and expectations; parent and healthcare professionals' attitudes; parent roles and healthcare professional facilitation activities. Ways in which nurses gave parents instruction and guidance to participate effectively in the care of their hospitalized child were examined in five intervention studies.
Recent research has confirmed parents' desire and expectations to participate in their child's care and shown how the nature of their participation has evolved. The attitudes and activities of healthcare professionals are both barriers and facilitators to parent participation. Further research is needed to examine how parents' expectations differ between specialties and acute and chronic care and ways of facilitating parent participation.
本文是一篇关于父母参与住院儿童护理研究的系统文献综述报告。
1994年之前的研究发现，父母希望参与通常在家中进行的基本儿童护理活动。护士期望父母参与这些活动，但不愿让父母承担技术角色。在过去十年中进行了进一步的研究，但尚未进行系统综述。
使用CINAHL、PsychInfo、Embase和Medline数据库对1994年1月至2006年6月期间发表的生物医学研究进行了检索。检索词与父母、参与和住院儿童相关。
进行了系统综述，并提取、总结和评判了研究结果对父母参与知识的贡献。
发现了21项描述性研究，这些研究调查了父母参与的以下维度：父母和医护人员的需求、愿望和期望；父母和医护人员的态度；父母角色和医护人员的促进活动。五项干预研究考察了护士指导父母有效参与住院子女护理的方式。
近期研究证实了父母参与孩子护理的愿望和期望，并表明了他们参与的性质是如何演变的。医护人员的态度和活动既是父母参与的障碍，也是促进因素。需要进一步研究，以考察不同专科以及急性和慢性护理中父母期望的差异，以及促进父母参与的方法。
