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护士对慢性病患者家长赋权的认知

Nurses' perceptions of parent empowerment in chronic illness.

作者信息

Panicker Leena

机构信息

School of Health, Faculty of Engineering, Health, Science and Environment, Charles Darwin University, Darwin, NT, Australia.

出版信息

Contemp Nurse. 2013 Oct;45(2):210-9. doi: 10.5172/conu.2013.45.2.210.

Abstract

BACKGROUND

Parent empowerment is upheld as a creative strategy to provide a family-centred care in chronic childhood illness. However identifying and measuring parent empowerment practices are ambiguous probably due to the subjective nature of the concept.

AIM

To explore nurses' perception of parent empowerment in chronic illness. Design Qualitative descriptive design.

METHOD

Three focus group interviews were conducted among a purposeful sample of child health nurses (N =14) and the data was analysed using qualitative content analysis strategy.

RESULTS

The participants identified that empowered parents are able to take care of their child in a safe and structured way at home. An atmosphere of trust, open communication, shared decision making, support and parental readiness to accept their child's care led to parent empowerment. Nurse's role was identified as an advocate for the child and the family and, as a frontline worker who fill the gap between parent and the multidisciplinary team.

CONCLUSION AND RELEVANCE TO CLINICAL PRACTICE

Educating parents about their child's condition, teaching them the needed new skills, and offering and providing them with support services are identified as the parent empowerment strategies. It is recommended that further training and clear clinical guidelines are needed to accomplish parent empowerment.

摘要

背景

家长赋权被视为一种创新策略,用于在儿童慢性病中提供以家庭为中心的护理。然而,识别和衡量家长赋权实践并不明确,这可能是由于该概念的主观性。

目的

探讨护士对慢性病中家长赋权的看法。设计:定性描述性设计。

方法

对一组有目的选取的儿童健康护士(N = 14)进行了三次焦点小组访谈,并使用定性内容分析策略对数据进行了分析。

结果

参与者认为,获得赋权的家长能够在家中以安全且有条理的方式照顾自己的孩子。信任的氛围、开放的沟通、共同决策、支持以及家长愿意接受对孩子的护理促成了家长赋权。护士的角色被确定为儿童和家庭的倡导者,以及填补家长与多学科团队之间差距的一线工作者。

结论及与临床实践的相关性

向家长介绍其孩子的病情、教授他们所需的新技能以及为他们提供支持服务被确定为家长赋权策略。建议需要进一步培训和明确的临床指南来实现家长赋权。

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