在特殊护理病房协商护理事宜：父母与护士对护患沟通的看法
Negotiating Care in the Special Care Nursery: Parents' and Nurses' Perceptions of Nurse-Parent Communication.
作者信息
Jones Liz, Taylor Tara, Watson Bernadette, Fenwick Jennifer, Dordic Tatjana
机构信息
School of Applied Psychology, Griffith University, Mt Gravatt, QLD Australia.
School of Applied Psychology, Griffith University, Mt Gravatt, QLD Australia.
出版信息
J Pediatr Nurs. 2015 Nov-Dec;30(6):e71-80. doi: 10.1016/j.pedn.2015.03.006. Epub 2015 Apr 29.
OBJECTIVE
Nursing staff are an important source of support for parents of a hospitalized preterm infant. This study aimed to describe parents' and nurses' perceptions of communicating with each other in the context of the special care nursery.
METHOD
A qualitative descriptive design was employed. Thirty two parents with a newborn admitted to one of two special care nurseries in Queensland, Australia participated, and 12 nurses participated in semi-structured interviews. Thematic analysis was used to analyze the interviews.
RESULTS
Nurses and parents focused on similar topics, but their perceptions differed. Provision of information and enabling parenting were central to effective communication, supported by an appropriate interpersonal style by nurses. Parents described difficulties accessing or engaging nurses. Managing enforcement of policies was a specific area of difficulty for both parents and nurses.
CONCLUSION
The findings indicated a tension between providing family-centered care that is individualized and based on family needs and roles, and adhering to systemic nursery policies.
目的
护理人员是住院早产儿父母重要的支持来源。本研究旨在描述在特殊护理育婴室环境中，父母和护士对彼此沟通的看法。
方法
采用定性描述性设计。澳大利亚昆士兰州两家特殊护理育婴室之一收治的32名新生儿的父母参与了研究，12名护士参与了半结构化访谈。采用主题分析法对访谈进行分析。
结果
护士和父母关注的主题相似，但看法不同。提供信息和支持育儿是有效沟通的核心，护士恰当的人际沟通方式对此起到了支持作用。父母描述了接触或联系护士存在困难。对父母和护士而言，管理政策的执行都是一个特殊的困难领域。
结论
研究结果表明，在提供以家庭为中心、个性化且基于家庭需求和角色的护理与遵守育婴室系统政策之间存在矛盾。
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