Bax A C, Shawler P M, Blackmon D L, DeGrace E W, Wolraich M L
a Department of Pediatrics, Section on Developmental and Behavioral Pediatrics , University of Oklahoma Health Sciences Center , Oklahoma City , OK , USA.
b Department of Psychology , Oklahoma State University , Stillwater , OK , USA.
Psychol Health Med. 2016 Sep;21(6):776-85. doi: 10.1080/13548506.2015.1120324. Epub 2015 Dec 20.
Factors surrounding pediatricians' parenting advice and training on parenting during residency have not been well studied. The primary purpose of this study was to examine pediatric residents' self-reported experiences giving parenting advice and explore the relationship between parenting advice given and types of parenting residents received as children. Thirteen OUHSC pediatric residents were individually interviewed to examine experiences being parented and giving parenting advice. Phenomenological methods were used to explicate themes and secondary analyses explored relationships of findings based upon Baumrind's parenting styles (authoritative, authoritarian, permissive). While childhood experiences were not specifically correlated to the parenting advice style of pediatric residents interviewed, virtually all reported relying upon childhood experiences to generate their advice. Those describing authoritative parents reported giving more authoritative advice while others reported more variable advice. Core interview themes related to residents' parenting advice included anxiety about not being a parent, varying advice based on families' needs, and emphasis of positive interactions and consistency. Themes related to how residents were parented included discipline being a learning process for their parents and recalling that their parents always had expectations, yet always loved them. Pediatric residents interviewed reported giving family centered parenting advice with elements of positive interactions and consistency, but interviews highlighted many areas of apprehension residents have around giving parenting advice. Our study suggests that pediatric residents may benefit from more general educational opportunities to develop the content of their parenting advice, including reflecting on any impact from their own upbringing.
围绕儿科医生育儿建议以及住院医师培训期间育儿指导的相关因素尚未得到充分研究。本研究的主要目的是调查儿科住院医师自我报告的提供育儿建议的经历,并探讨所提供的育儿建议与住院医师童年时期接受的育儿方式之间的关系。对13名俄克拉荷马大学健康科学中心(OUHSC)的儿科住院医师进行了单独访谈,以调查他们被养育的经历以及提供育儿建议的情况。采用现象学方法来阐明主题,并基于鲍姆林德的育儿风格(权威型、专制型、放任型)进行二次分析,以探索研究结果之间的关系。虽然童年经历与接受访谈的儿科住院医师的育儿建议风格没有具体关联,但几乎所有人都报告说依靠童年经历来提供建议。那些描述有权威型父母的人报告提供了更多权威型建议,而其他人则报告提供的建议更多样化。与住院医师育儿建议相关的核心访谈主题包括对自己不是父母的焦虑、根据家庭需求提供不同建议,以及强调积极互动和一致性。与住院医师被养育方式相关的主题包括纪律对他们父母来说是一个学习过程,以及回忆起他们的父母总是有期望,但始终爱他们。接受访谈的儿科住院医师报告提供以家庭为中心的育儿建议,包含积极互动和一致性的要素,但访谈突出了住院医师在提供育儿建议方面存在的许多担忧领域。我们的研究表明,儿科住院医师可能会从更多的一般性教育机会中受益,以完善他们育儿建议的内容,包括反思自己成长经历的任何影响。