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家长参与针对先天性心脏病患儿的医院珠子项目的经历。

Parental experiences with a hospital-based bead programme for children with congenital heart disease.

作者信息

Wilson Valerie, Chando Shingisai

机构信息

Nursing Research and Practice Development, The Sydney Children's Hospital Network, Westmead, NSW, Australia; The University of Technology, Sydney, NSW, Australia.

出版信息

J Clin Nurs. 2015 Feb;24(3-4):439-46. doi: 10.1111/jocn.12621. Epub 2014 Jun 3.

Abstract

AIMS AND OBJECTIVES

To present survey findings on parental experiences with a hospital-based bead programme for children with congenital heart disease.

BACKGROUND

The Heart Beads programme commenced at a paediatric hospital in Australia in 2008. Children enrolled in the programme are awarded a distinctive bead for every procedure/treatment they have while in hospital. A previous evaluation study on the programme revealed that the beads are therapeutic for the child and parents; however, due to a small sample size, the results were representative of the experiences of a small number of families who participated in the programme.

DESIGN

This was an evaluation study which employed a nonexperimental descriptive design.

METHODS

Surveys were mailed to all eligible families who enrolled in the programme. Data collection occurred between July-December 2012. Questions on parental experiences with the Heart Beads programme were divided into three categories: understanding, acknowledgement and quality. Descriptive statistics were obtained and analysed.

RESULTS/FINDINGS: One hundred and sixty-two mothers and 136 fathers responded to the survey. Heart Beads assisted mothers (83%) and fathers (80%) with understanding their child's condition and helped them with communication (mothers 80%, fathers 58%). The majority of fathers felt that their experience was acknowledged by nursing staff (64%) and medical staff (62%), while mothers indicated a higher response from nurses (76%) compared to medical staff (67%). Overall, parents rated the programme positively; however, there was some concern that children at times missed out on beads.

CONCLUSION

Understanding how mothers and fathers experience the programme differently can guide staff in their communication with parents and inform future initiatives.

RELEVANCE TO CLINICAL PRACTICE

The Heart Beads help nurses understand how parents are experiencing care and ways in which they can provide support and acknowledgement of the parent's experience.

摘要

目的与目标

呈现关于父母参与先天性心脏病患儿医院珠子项目体验的调查结果。

背景

“心脏珠子”项目于2008年在澳大利亚一家儿科医院启动。参与该项目的患儿在住院期间每接受一次手术/治疗,就会获得一颗独特的珠子。此前对该项目的一项评估研究表明,这些珠子对患儿及其父母具有治疗作用;然而,由于样本量较小,结果仅代表了少数参与该项目家庭的体验。

设计

这是一项采用非实验性描述性设计的评估研究。

方法

向所有符合条件并参与该项目的家庭邮寄调查问卷。数据收集于2012年7月至12月期间进行。关于父母对“心脏珠子”项目体验的问题分为三类:理解、认可和质量。获取并分析描述性统计数据。

结果/发现:162位母亲和136位父亲回复了调查问卷。“心脏珠子”帮助母亲(83%)和父亲(80%)了解孩子的病情,并帮助他们进行沟通(母亲80%,父亲58%)。大多数父亲认为护理人员(64%)和医务人员(62%)认可他们的体验,而母亲表示护士(76%)的回应高于医务人员(67%)。总体而言,父母对该项目评价积极;然而,有人担心孩子有时会错过获得珠子的机会。

结论

了解父母对该项目的体验存在差异,可为工作人员与父母的沟通提供指导,并为未来的举措提供参考。

与临床实践的相关性

“心脏珠子”有助于护士了解父母对护理的体验,以及他们可以提供支持和认可父母体验的方式。

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