Giambra Barbara K, Broome Marion E, Sabourin Teresa, Buelow Janice, Stiffler Deborah
Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229-3039, United States.
Indiana University, School of Nursing, 1111 Middle Drive, Indianapolis, IN 46202, United States.
J Pediatr Nurs. 2017 May-Jun;34:29-35. doi: 10.1016/j.pedn.2017.01.014. Epub 2017 Feb 4.
The purpose of this qualitative research study was to expand our understanding of the process of communication between parents of hospitalized technology dependent children and their nurses originally detailed in the Theory of Shared Communication (TSC).
This grounded theory study was conducted with five parents of technology dependent children hospitalized in a large Midwestern children's hospital and nine nurses who care for technology dependent children admitted to the same hospital during July and August 2013. Semi-structured interviews and journals (parents only), field notes and a demographic survey were used to collect data which was analyzed using constant comparative analysis.
Parents verified the concepts of the TSC and relationships among them. Nurses' perceptions of communication with parents reflected the same parent identified and verified concepts upon which the TSC was originally grounded including respect for own and other's expertise, asking, listening, explaining, advocating, verifying understanding and negotiating roles to achieve mutual understanding of the child's plan of care. The nurses' perceptions differed stylistically but not categorically from those of the parents.
The addition of the nurse's perspectives to the verified TSC expands our understanding of this process of communication.
With the integration of nurse and parent perspectives, the TSC can be used to enhance communication and care for hospitalized technology dependent children and their families.
这项定性研究的目的是拓展我们对住院的技术依赖型儿童的父母与护士之间沟通流程的理解，该流程最初在共享沟通理论（TSC）中有详细阐述。
这项扎根理论研究是对2013年7月和8月期间在一家大型中西部儿童医院住院的五名技术依赖型儿童的父母以及九名照顾同一家医院收治的技术依赖型儿童的护士进行的。采用半结构化访谈和日志（仅针对父母）、实地记录和人口统计学调查来收集数据，并使用持续比较分析法进行分析。
父母证实了TSC的概念及其相互关系。护士对与父母沟通的看法反映了TSC最初所基于的相同的、由父母确定并证实的概念，包括尊重自己和他人的专业知识、提问、倾听、解释、倡导、核实理解以及协商角色以实现对儿童护理计划的相互理解。护士的看法在风格上与父母不同，但在类别上并无差异。
将护士的观点加入到已证实的TSC中，拓展了我们对这一沟通流程的理解。
整合护士和父母的观点后，TSC可用于加强对住院的技术依赖型儿童及其家庭的沟通与护理。
