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父母在新加坡等待孩子接受手术时的体验。

Parental Experiences While Waiting For Children Undergoing Surgery in Singapore.

机构信息

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Division of Nursing, KK Women's and Children's Hospital, Singapore.

Martti Ahtisaari Institute, Oulu Business School, University of Oulu, Finland; VTT Technical Research Centre of Finland, Finland; Faculty of Medicine, University of Oulu, Finland.

出版信息

J Pediatr Nurs. 2020 May-Jun;52:e42-e50. doi: 10.1016/j.pedn.2020.01.004. Epub 2020 Jan 24.

Abstract

PURPOSE

To explore the experiences and needs of parents while waiting for their children undergoing surgery.

DESIGNS AND METHODS

A descriptive qualitative study was conducted. A purposive sample of 11 parents who went through their first waiting experiences during their children's surgeries in a Singapore public hospital was recruited. Children younger than or equal to 16 years of age were included. A semi-structured interview guide facilitated the individual face-to-face interviews. Thematic analysis was used.

RESULTS

Four themes were identified: "Care and care provision affecting waiting experiences", "Parental concerns and surgery affecting waiting experiences", "Coping strategies used during waiting periods" and "Recommendations to improve waiting experiences". Pre-operative instructions, the professionalism of medical teams, and a lack of timely updates affected parental experiences. Parents expressed their worries. The complexities and types of surgery influenced how they felt. Their concerns included potential complications, surgical outcomes, anesthesia-related side effects, and post-operative care including pain. They spent their waiting times eating, resting, using their smart devices, and coping with a support system. Environmental improvements, more updates, and mobile applications were recommended by the participants.

CONCLUSION

For a parent, the wait during his/her child's surgery can be unsettling. Our results give insights into parental waiting experiences and needs during their children's surgeries.

PRACTICE IMPLICATIONS

These findings can guide the improvement of the current practise based on our evidence or the implementation of newer technology to provide better waiting experiences for parents during their children's surgeries and to enhance the quality of clients' experiences in the hospital.

摘要

目的

探索父母在等待孩子接受手术时的经历和需求。

设计和方法

本研究采用描述性定性研究方法。在新加坡一家公立医院,通过便利抽样招募了 11 名经历过孩子首次手术等待的父母作为研究对象。纳入的儿童年龄在 16 岁及以下。采用半结构式访谈指南进行了面对面的个人访谈。使用主题分析方法。

结果

确定了四个主题:“影响等待体验的护理和护理提供”、“父母的担忧和手术影响等待体验”、“等待期间使用的应对策略”和“改善等待体验的建议”。术前指导、医疗团队的专业性以及缺乏及时更新都会影响父母的体验。父母表达了他们的担忧。手术的复杂性和类型影响他们的感受。他们的担忧包括潜在的并发症、手术结果、麻醉相关的副作用以及包括疼痛在内的术后护理。他们在等待期间通过吃东西、休息、使用智能设备以及依靠支持系统来应对。参与者建议改善环境、提供更多更新以及使用移动应用程序。

结论

对于父母来说,孩子手术时的等待可能会让人不安。我们的研究结果深入了解了父母在孩子手术期间的等待体验和需求。

实践意义

这些发现可以指导我们根据证据改进当前的实践,或者实施新技术,为父母在孩子手术期间提供更好的等待体验,并提高医院客户的体验质量。

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