Ford Karen
ADON Education and Research, Southern Tasmanian Area Health Service, Australia.
J Child Health Care. 2011 Dec;15(4):250-60. doi: 10.1177/1367493511420185. Epub 2011 Nov 15.
It is a mark of respect for children that their views around their healthcare are listened to and considered. To date, too little attention has been paid to children's views and experiences of admission to hospital for surgery. This paper presents findings from a constructivist grounded theory study of children's experiences of admission to hospital for surgery (from their perspectives). Age appropriate data collection techniques were used and included interviews with children and their drawings and stories. Ten children, aged 6-12 years, who were admitted to hospital for surgery participated in the research. The children were able to clearly articulate aspects of their experience, including their fears and anxieties, the things they enjoyed and the things that assisted them to cope with their experience. The substantive theory developed was 'children's reframing of their sense of selves to incorporate the experiences of hospitalization and surgery'. Children require information and support to alleviate their anxieties around the time of their surgery. With pressures on children's services, increased day surgery rates and shorter admissions, nurses who care for children around this time are challenged to find ways of knowing each child's story and the fears that they have.
倾听并考虑儿童对自身医疗保健的看法是对他们的一种尊重。迄今为止,对于儿童住院接受手术的看法和经历关注太少。本文呈现了一项建构主义扎根理论研究的结果,该研究是关于儿童住院接受手术的经历(从他们的视角)。采用了适合儿童年龄的数据收集技巧,包括与儿童的访谈以及他们的绘画和故事。十名6至12岁住院接受手术的儿童参与了这项研究。这些儿童能够清晰地阐述他们经历的各个方面,包括他们的恐惧和焦虑、他们喜欢的事情以及帮助他们应对经历的事情。所形成的实质性理论是“儿童对自我认知的重新构建,以纳入住院和手术的经历”。儿童在手术前后需要信息和支持来减轻焦虑。鉴于儿童服务面临的压力、日间手术率的提高和住院时间的缩短,在此期间照顾儿童的护士面临挑战,要找到了解每个儿童的故事以及他们所恐惧之事的方法。