Hendrickson Sherry Garrett
The University of Texas at Austin School of Nursing, Austin, TX 78701, USA.
J Nurs Scholarsh. 2008;40(2):137-43. doi: 10.1111/j.1547-5069.2008.00218.x.
The aim of the study was to explore the worries, safety behaviors, and perceived difficulties in keeping children safe at home in a purposive sample of low-income, predominantly non-English speaking mothers as a foundation for later nursing interventions.
This study was a qualitative, descriptive design with content analysis to identify maternal concerns, behaviors, and perceptions of home safety as part of a larger study.
Eighty-two mothers, 64% of whom were monolingual Spanish-speakers, responded in writing to three semistructured interview questions. When mothers were unable to read and write the researcher wrote the responses, then read the content aloud for verification. A standardized probe for each question was posed to obtain richer responses. Data management included use of the software program NUD*IST and coding analyses following the Miles and Huberman guidelines (1994). Interpretations were translated into English for this report.
The major worries were falling, health, kidnapping, and being hit by a car. The leading maternal behaviors were coded as being physically, verbally, and environmentally preventive. Mothers said that it was their role to provide safety, and that this role could be wearisome, such that constant supervision was difficult.
Low-income mothers described their worries for their 1 to 4 year-old children, explored their behaviors for preventing injury, and discussed what made keeping children from harm difficult. Understanding how mothers keep children safe, the barriers to home safety, and effective safety behaviors are important to the health of children.
The clinical relevance of this study includes building trust as clinicians plan assessment, intervention and evaluation of home safety to encourage dialog about concerns, safety behaviors, and barriers to keeping children from injury.
本研究旨在探讨低收入、主要为非英语母语的母亲这一有目的样本在家庭中保障儿童安全方面的担忧、安全行为以及感知到的困难，为后续护理干预奠定基础。
本研究采用定性描述性设计，并进行内容分析，以确定母亲对家庭安全的担忧、行为和认知，这是一项更大规模研究的一部分。
82名母亲（其中64%为只会说西班牙语的单语者）以书面形式回答了三个半结构化访谈问题。当母亲无法读写时，研究人员记录她们的回答，然后大声读出内容进行核实。针对每个问题提出标准化追问以获得更丰富的回答。数据管理包括使用NUD*IST软件程序，并按照迈尔斯和休伯曼指南（1994年）进行编码分析。本报告中的解释已翻译成英文。
主要担忧包括跌倒、健康、绑架和被车撞。主要的母亲行为被编码为身体、言语和环境预防方面的行为。母亲们表示，提供安全保障是她们的职责，而这个职责可能令人疲惫，以至于持续监督很困难。
低收入母亲描述了她们对1至4岁孩子的担忧，探讨了她们预防伤害的行为，并讨论了阻碍保护孩子免受伤害的因素。了解母亲如何保障儿童安全、家庭安全的障碍以及有效的安全行为对儿童健康很重要。
本研究的临床意义包括在临床医生规划家庭安全评估、干预和评价时建立信任，以鼓励就担忧、安全行为以及防止儿童受伤的障碍进行对话。
