School of Nursing, The Hong Kong Polytechnic University, Special Administrative Region, Hong Kong, China.
J Adv Nurs. 2013 Aug;69(8):1808-18. doi: 10.1111/jan.12042. Epub 2012 Nov 16.
To examine Chinese mothers' experience of caring for their hospitalized sick child.
Engaging the mother in providing care for a hospitalized sick child is considered one of the key elements for high-quality care in advanced paediatric nursing. There is evidence that a mother's belief in her capacity to manage stressful situations could improve the nurse-parent relationship because they might play an important role in protecting mothers against heightened stress during crisis situation.
An interpretive phenomenological approach involving semi-structured interview and thematic analysis was used.
Fifteen interviews were conducted in Hong Kong, China from April 2009-January 2010, with 15 mothers caring for their hospitalized sick children with acute injury or illness. Crist and Tanner's circular process of hermeneutic interpretive phenomenology was chosen to guide the data analysis.
The prevailing concept identified through analysis was the 'constant vigilance' that mothers developed. Interpretation of data resulted in the identification of four key themes: 'being sensitive to others', 'providing helping hands', 'monitoring health conditions', and 'maintaining dialogues'. The findings highlight Chinese mothers' desire for participation in caring for their hospitalized child, their unexpressed needs for communication, and concern about being uncared by the busy health professionals, which affect their care for the child's health outcomes.
The findings facilitate the development of family-centred care focuses on partnership of care between the nurse and family to enhance the Chinese family's active and participatory role.
探讨中国母亲照顾住院患病孩子的体验。
让母亲参与照顾住院患病孩子被认为是高级儿科护理中高质量护理的关键要素之一。有证据表明，母亲对自己应对紧张情况的能力的信念可以改善护士与家长的关系，因为她们在保护母亲免受危机期间压力升高方面可能发挥重要作用。
采用半结构式访谈和主题分析的解释现象学方法。
2009 年 4 月至 2010 年 1 月，在中国香港对 15 名照顾患有急性损伤或疾病住院患病孩子的母亲进行了 15 次访谈。选择克里斯特和坦纳的循环解释现象学解释过程来指导数据分析。
通过分析确定的主要概念是母亲发展出的“持续警惕”。数据分析得出了四个关键主题：“对他人敏感”、“提供帮助”、“监测健康状况”和“保持对话”。研究结果强调了中国母亲参与照顾住院孩子的愿望、她们对沟通的未表达需求以及对忙碌的卫生专业人员不关心的担忧，这些都影响了她们对孩子健康结果的照顾。
研究结果促进了以家庭为中心的护理的发展，重点是护士和家庭之间的护理伙伴关系，以增强中国家庭的积极参与角色。
