Fowler Cathrine, Dickinson Marie, Daggar Leanne, Goodwin Glenda
a Faculty of Health, University of Technology Sydney , PO Box 123, 15 Broadway, Ultimo 2007 , NSW , Australia.
b Tresillian Family Care Centre , McKenzie St, Belmore 2192 , NSW , Australia.
Contemp Nurse. 2019 Apr-Jun;55(2-3):95-108. doi: 10.1080/10376178.2019.1611379. Epub 2019 May 6.
In Australia, most states have residential parenting units that provide parenting support to parents (usually mothers) who are experiencing significant parenting difficulties with their infants or toddlers. The three most common reasons for admission to a residential service are: sleep and settling issues, adjustment to parenting, and feeding issues. The overall study aim was to explore mothers' experience of a residential admission, as one tool to increase the "patient (mother) voice" within the residential parenting service and provide a mechanism for staff to understand the impact of their interactions with mothers on the care delivery process. A qualitative descriptive approach and thematic analysis were used. One hundred mothers provided responses to a routinely collected questionnaire that asked about their experience while admitted to one of three residential parenting units. All mothers were eligible to participate. Three major themes were identified: not knowing what to expect; working collaboratively with parents; and facilitating maternal learning. Mothers identified that they had increased parenting confidence levels, and gained new parenting knowledge and skills as an outcome of the residential stay. The value of a residential stay is clearly articulated by the mothers in the stories collected. These themes have affirmed that the residential units are parent-focused. Some mothers were surprised by the nurses' willingness to listen to their preferences about their child's care and to work with them adapting interventions to their cultural and home context.
在澳大利亚，大多数州都设有育儿住宿单元，为那些在照顾婴幼儿时遇到重大育儿困难的父母（通常是母亲）提供育儿支持。入住住宿服务机构的三个最常见原因是：睡眠与安顿问题、适应为人父母的角色以及喂养问题。本研究的总体目标是探索母亲们在入住住宿机构期间的经历，以此作为一种工具，增强住宿育儿服务中“患者（母亲）声音”，并为工作人员提供一种机制，使其了解与母亲的互动对护理提供过程的影响。研究采用了定性描述方法和主题分析法。一百位母亲对一份常规收集的问卷做出了回应，问卷询问了她们在入住三个育儿住宿单元之一期间的经历。所有母亲都有资格参与。研究确定了三个主要主题：对预期情况一无所知；与父母合作；促进母亲学习。母亲们表示，入住住宿机构后，她们的育儿信心增强了，还获得了新的育儿知识和技能。在收集到的故事中，母亲们清楚地阐述了入住住宿机构的价值。这些主题证实了住宿单元是以父母为中心的。一些母亲对护士愿意倾听她们对孩子护理的偏好，并与她们合作根据其文化和家庭背景调整干预措施感到惊讶。
