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住院患儿母亲与提供护理的儿科护士的相互期望:定性研究

Mutual Expectations of Mothers of Hospitalized Children and Pediatric Nurses Who Provided Care: Qualitative Study.

作者信息

Konuk Şener Dilek, Karaca Aysel

机构信息

Duzce University, School of Health Sciences, Department of Nursing, Duzce, Turkey.

Duzce University, School of Health Sciences, Department of Nursing, Duzce, Turkey.

出版信息

J Pediatr Nurs. 2017 May-Jun;34:e22-e28. doi: 10.1016/j.pedn.2017.02.004. Epub 2017 Feb 12.

Abstract

PURPOSE

This study attempted to identify the mutual expectations of mothers whose children were hospitalized in the pediatric department of a university hospital and nurses who provided care.

DESIGN AND METHODS

A descriptive phenomenological design has been used in this study. Data were obtained through tape-recorded semi-structured interviews. This study was conducted at a pediatric clinic, at a university hospital in a small city in Turkey. Participants comprised five nurses working in the children's clinic and 24 mothers who accompanied their children to the hospital.

RESULTS

The six major themes that emerged were mothers' feelings and thoughts about the hospital experience, mothers' expectations for attention and support during hospitalization, mothers' expectations for invasive procedures, issues regarding physical comfort and hospital infrastructure, nurses' feelings and thoughts about working in the pediatric clinic, and nurses' expectations of the mothers.

CONCLUSIONS

Mothers expected nurses to provide physical support including medication administration, and installing/applying IV and nebulizer treatments; and emotional support in terms of having a friendly, rather than critical attitude, and being approachable and receptive of mothers' questions and anxieties. Nurses stated that they were aware of these expectations but needed mothers to be understanding and tolerant, considering their difficult working conditions.

PRACTICE IMPLICATIONS

Children's hospitalization is a stressful experience for parents. Open and therapeutic communication and relationships between parents and nurses contribute to improving the quality of care provided to children and their families.

摘要

目的

本研究试图确定孩子在大学医院儿科住院的母亲与提供护理的护士之间的相互期望。

设计与方法

本研究采用描述性现象学设计。数据通过录音的半结构化访谈获得。本研究在土耳其一个小城市的大学医院的儿科诊所进行。参与者包括在儿童诊所工作的五名护士和24名陪同孩子住院的母亲。

结果

出现的六个主要主题是母亲对住院经历的感受和想法、母亲对住院期间关注和支持的期望、母亲对侵入性操作的期望、关于身体舒适和医院基础设施的问题、护士对在儿科诊所工作的感受和想法以及护士对母亲的期望。

结论

母亲期望护士提供身体支持,包括给药、安装/应用静脉输液和雾化治疗;以及情感支持,即态度友好而非挑剔,易于接近并接受母亲的问题和焦虑。护士表示他们意识到了这些期望,但考虑到工作条件困难,需要母亲理解和宽容。

实践意义

孩子住院对父母来说是一段压力很大的经历。父母与护士之间开放且具有治疗性的沟通和关系有助于提高为孩子及其家庭提供的护理质量。

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