Children's Nursing/Research School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland.
J Adv Nurs. 2011 Dec;67(12):2561-73. doi: 10.1111/j.1365-2648.2011.05768.x. Epub 2011 Jul 20.
This paper is a report of the qualitative findings of a multisite survey in seven children's units in Ireland. In this survey, nurses caring for children identified their practice and perception of family-centred care.
International research has identified inconsistencies with the provision and application of family-centred care in practice. Existing research studies illustrate barriers to family-centred care including nurses' attitudes to families and a lack of support and resources for the philosophy.
A descriptive survey design was employed to collect data in 2008-2009. Questionnaires were distributed to nurses (n = 750) which yielded a response rate of 33% (n = 250). The nurses completed a 47-item questionnaire which examined nurses' perceptions and practices of family-centred care, the quantitative findings of this study will be reported in another publication. The questionnaire contained two open-ended questions and the data from these questions are reported here.
While nurses accept family-centred care as an ideal philosophy for the care of children and their families, the implementation of family-centred care in practice would seem to present challenges for nurses. The majority in this study indicated that they required further organizational and managerial support to fully implement family-centred care practices. Two interrelated themes were identified 'the components of family-centred care' and 'enhancing family-centred care'.
To provide good quality family-centred care nurses need adequate resources, appropriate education, support for managers and support from other healthcare disciplines.
本文是对爱尔兰 7 家儿童病房进行的多地点调查的定性研究结果报告。在这项调查中，护理儿童的护士确定了他们的以家庭为中心的护理实践和看法。
国际研究已经发现，在实践中提供和应用以家庭为中心的护理存在不一致的情况。现有的研究表明，以家庭为中心的护理存在障碍，包括护士对家庭的态度以及缺乏对该理念的支持和资源。
2008 年至 2009 年，我们采用描述性调查设计收集数据。向护士（n=750）分发问卷，回收率为 33%（n=250）。护士填写了一份包含 47 个项目的问卷，该问卷考察了护士对以家庭为中心的护理的看法和实践，本研究的定量研究结果将在另一篇出版物中报告。问卷包含两个开放式问题，此处报告这些问题的数据。
虽然护士接受以家庭为中心的护理是为儿童及其家庭提供护理的理想理念，但在实践中实施以家庭为中心的护理似乎对护士提出了挑战。在这项研究中，大多数护士表示，他们需要进一步的组织和管理支持，以全面实施以家庭为中心的护理实践。确定了两个相互关联的主题：“以家庭为中心的护理的组成部分”和“增强以家庭为中心的护理”。
为了提供高质量的以家庭为中心的护理，护士需要充足的资源、适当的教育、管理者的支持以及来自其他医疗保健学科的支持。
