Douglas Tracy, Redley Bernice, Ottmann Goetz
Deakin University, School of Nursing and Midwifery, Burwood, Victoria, Australia.
Centre for Nursing Research - Deakin University and Monash Health Partnership, Burwood, Victoria, Australia.
J Adv Nurs. 2016 Nov;72(11):2738-2749. doi: 10.1111/jan.13056. Epub 2016 Jul 19.
To describe the support needs of parents caring for a child with an intellectual disability in the first year of life.
Parents of children with intellectual disabilities face significant challenges during the first year of their child's life which is an important developmental period not previously addressed in the literature. The provision of support by health professionals, particularly nurses and midwives, during this crucial period can impact on parental well-being and on the health and developmental outcomes of their children. However, parents often feel unsupported.
The study used a qualitative descriptive methodology.
Semi-structured interviews were conducted with parents of eleven children with an intellectual disability in Victoria, Australia, during 2014. Interviews were digitally recorded, transcribed verbatim and analysed using thematic data analysis.
Three key areas of support need were identified to assist parents to provide effective care for their child with an intellectual disability in the first year of life: (1) emotional support as parents adjusted to their role of caring for a child with an intellectual disability; (2) information support as they embarked on a quest for knowledge; and (3) support to facilitate their connection to peer networks. The findings highlighted inconsistent provision of support for parents.
This study informs health professionals about how to provide holistic, timely support to parents of children with intellectual disabilities in the first year of life. There is an urgent need to review how nurses and midwives can provide relevant support that is responsive to parents' needs.
描述在孩子出生第一年照顾智障儿童的家长的支持需求。
智障儿童的家长在孩子出生的第一年面临重大挑战,而这一重要的发育阶段此前在文献中未得到探讨。在这一关键时期,卫生专业人员,尤其是护士和助产士提供的支持会影响家长的幸福感以及孩子的健康和发育结果。然而,家长常常感觉缺乏支持。
本研究采用质性描述方法。
2014年期间,对澳大利亚维多利亚州11名智障儿童的家长进行了半结构式访谈。访谈进行了数字录音,逐字转录,并采用主题数据分析。
确定了三个关键的支持需求领域,以帮助家长在孩子出生第一年为智障儿童提供有效护理:(1)随着家长适应照顾智障儿童的角色而提供情感支持;(2)在他们寻求知识时提供信息支持;(3)支持促进他们与同伴网络建立联系。研究结果突出了对家长支持的不一致性。
本研究告知卫生专业人员如何在孩子出生第一年为智障儿童的家长提供全面、及时的支持。迫切需要审视护士和助产士如何能够提供符合家长需求的相关支持。