Clinical Nurse, School of Nursing and Midwifery, University of Western Sydney, Penrith South DC, NSW, Australia.
J Clin Nurs. 2014 Jan;23(1-2):181-90. doi: 10.1111/jocn.12249. Epub 2013 Jun 7.
To examine child and family health nurses' perceptions of and practices related to working with families of preschool-aged children about their child's behaviour.
Emotional and behavioural problems in young children are of increasing concern. Child and family health nurses are well placed to support parents and provide education about behavioural concerns.
A qualitative interpretive study informed by ethnography was used.
Forty-eight nurses participated in focus groups. Of these nurses, 11 participated in observations of clinical interactions with 23 mothers. Eight managers were interviewed.
Three themes and two subthemes emerged from the data: Parents as deficit and nurse as expert; Parents have strengths and nurse as partner; Shaping practice - Time pressures and Wanting respect and to be valued.
Child and family health nurses enjoy working with preschool-aged children; however, complex issues and tensions are evident. Nurses need support at all levels within the health service if they are to negotiate an environment of ongoing change and to be enabled to work in partnership with parents and families and thereby promote the emotional and behavioural development of preschool-aged children.
The universal role of child and family health nurses provides unique opportunities to support parents about child behaviour concerns. Without appropriate support, nurses continue to work within an expert model that may alienate parents and families from using this service.
探讨儿童和家庭健康护士对学龄前儿童家庭的行为问题的看法和相关实践。
幼儿的情绪和行为问题越来越受到关注。儿童和家庭健康护士非常适合为父母提供支持，并提供有关行为问题的教育。
本研究采用了民族志指导的定性解释性研究方法。
48 名护士参加了焦点小组。其中 11 名护士观察了与 23 名母亲的临床互动。对 8 名管理人员进行了访谈。
从数据中出现了三个主题和两个子主题：父母是缺陷的，护士是专家；父母有优势，护士是伙伴；塑造实践-时间压力和想要尊重和被重视。
儿童和家庭健康护士喜欢与学龄前儿童一起工作；然而，复杂的问题和紧张局势是显而易见的。如果护士要在不断变化的环境中进行协商，并能够与父母和家庭合作，从而促进学龄前儿童的情绪和行为发展，那么他们需要在卫生服务的各个层面得到支持。
儿童和家庭健康护士的普遍角色为支持父母关注儿童行为问题提供了独特的机会。如果没有适当的支持，护士将继续在专家模式下工作，这可能会使父母和家庭疏远这项服务。
