1 University of Northampton, UK.
2 The University of Dublin, Ireland.
J Fam Nurs. 2018 Aug;24(3):443-469. doi: 10.1177/1074840718783488. Epub 2018 Jun 27.
Felt or enacted criticism was identified as a significant influence on White British parents' decision making during acute childhood illness in a substantive grounded theory "Containing acute childhood illness within family life." These parents sought to avoid further criticism, sometimes leading to delayed consultation. Using Glaserian grounded theory principles, we conducted a secondary analysis of data from three studies, to establish the transferability and modifiability of the original theory to other settings and communities in Ireland and England. Felt or enacted criticism was found to operate across the childhood age range, social groups, and settings. Parent's strategies to avoid criticism reduced contacts with health professionals, access to support and, more worryingly, communication about their child's health. These findings demonstrate the wider applicability, or "work" in Glaser's terms, of the concept in the English speaking Western world. Findings indicate the need for nurses to identify and mitigate sources of criticism.
在一项实质性的扎根理论“将急性儿童疾病纳入家庭生活”中，感觉到或实施的批评被认为是影响英国白人父母在儿童急性疾病期间做出决策的一个重要因素。这些父母试图避免进一步的批评，有时会导致延迟咨询。我们使用格拉泽的扎根理论原则，对来自三项研究的数据进行了二次分析，以确定原始理论在爱尔兰和英国的其他环境和社区中的可转移性和可修改性。感觉到或实施的批评被发现存在于整个儿童年龄段、社会群体和环境中。父母为避免批评而采取的策略减少了与卫生专业人员的接触、获得支持的机会，更令人担忧的是，也减少了他们与孩子健康有关的沟通。这些发现表明，在英语为母语的西方世界，这一概念具有更广泛的适用性，或者用格拉泽的话说，具有更广泛的“作用”。研究结果表明，护士需要识别和减轻批评的来源。
