先天性白内障患儿家长的不确定性和自我效能感——对临床实践的新启示
Uncertainty and self-efficacy in parents of a child with congenital cataract-New implications for clinical practice.
作者信息
Gyllén Jenny, Magnusson Gunilla, Forsberg Anna
机构信息
Department of Clinical Neuroscience Institute of Neuroscience and Physiology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.
Region Västra Götaland, Sahlgrenska University Hospital Department of Ophthalmology Mölndal Sweden.
出版信息
Nurs Open. 2019 Apr 2;6(3):799-807. doi: 10.1002/nop2.256. eCollection 2019 Jul.
AIM
The aim was an in-depth exploration of uncertainty and self-efficacy among parents of a child with congenital cataract by means of two theoretical frameworks to re-design family care.
DESIGN
A directed content analysis in accordance with Hsieh & Shannon, using Mishel's theory of uncertainty and Bandura's self-efficacy theory.
METHODS
Open-ended, in-depth interviews were conducted with 23 parents of a child with congenital cataract; six mothers, five fathers and six couples.
RESULTS
In this novel study, self-efficacy was interpreted as the ability to balance between uncertainty and acceptance. The performance accomplishment of the child and parents bridges the gap between uncertainty and acceptance by reducing uncertainty, thus constituting the level of self-efficacy. Setbacks and complications increase uncertainty and reduce self-efficacy, thus performance accomplishment is a mediator of self-efficacy, while ability to master uncertainty determines the level of self-efficacy.
目的
旨在通过两个理论框架深入探究先天性白内障患儿父母的不确定性和自我效能感，以重新设计家庭护理。
设计
根据谢和香农的方法进行定向内容分析，运用米舍尔的不确定性理论和班杜拉的自我效能感理论。
方法
对23位先天性白内障患儿的父母进行了开放式深入访谈；其中包括6位母亲、5位父亲和6对父母。
结果
在这项新颖的研究中，自我效能感被解释为在不确定性和接受之间取得平衡的能力。孩子和父母的表现成就通过减少不确定性弥合了不确定性和接受之间的差距，从而构成了自我效能感的水平。挫折和并发症会增加不确定性并降低自我效能感，因此表现成就是自我效能感的一个中介因素，而掌控不确定性的能力决定了自我效能感的水平。
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