Zandi Mitra, Vanaki Zohreh, Shiva Marziyeh, Mohammadi Eesa, Bagheri-Lankarani Narges
Department of Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Jpn J Nurs Sci. 2016 Jul;13(3):331-44. doi: 10.1111/jjns.12111. Epub 2016 Jan 21.
Despite the increasing use of surrogacy, there are no caring theories/models that serve as the basis for nursing care to surrogacy commissioning mothers. This study has designed a model for caring of surrogacy commissioning mothers in 2013.
The theory synthesis of Walker and Avant's strategies of theory construction (2011) was used to design a caring model/theory. The theory synthesis includes three stages: (i) selection of focal concept (the concept of "security giving in motherhood" was selected); (ii) review of studies in order to identify factors related to focal concept relevant studies (42 articles and 13 books) were reviewed, statements and concepts related to focal concept were then extracted and classified, and their relations were specified; and (iii) organization of concepts and statements within a relevant general and effective manifestation of the phenomenon under study which led to developing of a model.
In this caring model/theory, entitled "security giving in surrogacy motherhood", nurses roles were conceptualized within the conceptual framework that includes three main roles: (i) coordination; (ii) participation; and (iii) security giving (physical, emotional, and legal support; empowerment; presence; relationship management between both parties and advocacy). Training surrogacy specialist nurses and establishment of surrogacy care centers are important factors for implementation of the model.
This model could help to provided better caring for surrogacy clients, especially for commissioning mothers.
尽管代孕的使用日益增加，但尚无护理理论/模式可作为代孕委托母亲护理的基础。本研究于2013年设计了一种代孕委托母亲护理模式。
采用沃克和阿凡特的理论构建策略（2011年）进行理论综合，以设计一种护理模式/理论。理论综合包括三个阶段：（i）选择核心概念（选择了“母性中的给予安全感”这一概念）；（ii）回顾研究以确定与核心概念相关的因素（回顾了42篇文章和13本书），然后提取并分类与核心概念相关的陈述和概念，并明确它们之间的关系；（iii）在所研究现象的相关通用且有效表现形式内组织概念和陈述，从而形成一个模式。
在这个名为“代孕母性中的给予安全感”的护理模式/理论中，护士角色在一个概念框架内被概念化，该框架包括三个主要角色：（i）协调；（ii）参与；（iii）给予安全感（身体、情感和法律支持；赋权；陪伴；双方关系管理及倡导）。培训代孕专科护士和建立代孕护理中心是实施该模式的重要因素。
该模式有助于为代孕客户，尤其是委托母亲提供更好的护理。
