Prasopkittikun Tassanee, Srichantaranit Arunrat, Chunyasing Sirisopa
Faculty of Nursing, Mahidol University, Bangkok, Thailand.
Department of Nursing Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Int J Nurs Sci. 2019 Oct 4;7(1):74-80. doi: 10.1016/j.ijnss.2019.09.013. eCollection 2020 Jan 10.
This study was conducted to examine the differences between perceptions and practices of family-centered care among Thai pediatric nurses.
This mixed-methods study consisted of two phases. In the first phase, a descriptive comparative design using the Family-Centered Care Questionnaire - Revised (FCCQ-R) was administered to 142 pediatric nurses from a university hospital in Bangkok, Thailand. In the second phase, qualitative interviews were conducted with 16 pediatric nurses to gather complementary information regarding the major findings from the first phase.
The results revealed that family strengths and individuality were rated the highest as the most important elements and the most frequent practices. Parent/professional collaboration was perceived as the least important element, while the design of the heath care delivery system was rated as the least frequent practice. The qualitative data revealed that the major reasons for suboptimal implementation included a common perception that family-centered care is a Western concept, nurses' weak attitudes towards their roles, and a shortage of nurses.
Nurses agreed that the identified elements of family-centered care were necessary but that they did not incorporate the concepts into their daily nursing practice to maintain their endorsement of the family-centered care model. Further study is needed to explore how family-centered care is understood and operationalized by Thai nurses and how hospital administration and environments can be modified to support this care model.
本研究旨在探讨泰国儿科护士对以家庭为中心的护理的认知与实践之间的差异。
本混合方法研究包括两个阶段。第一阶段，采用修订后的以家庭为中心的护理问卷（FCCQ-R）对泰国曼谷一家大学医院的142名儿科护士进行描述性比较设计研究。第二阶段，对16名儿科护士进行定性访谈，以收集与第一阶段主要发现相关的补充信息。
结果显示，家庭优势和个性被评为最重要的要素和最常开展的实践中得分最高的。家长/专业人员合作被认为是最不重要的要素，而医疗保健提供系统的设计被评为最不常开展的实践。定性数据表明，实施效果欠佳的主要原因包括普遍认为以家庭为中心的护理是西方概念、护士对自身角色的态度薄弱以及护士短缺。
护士们一致认为，已确定的以家庭为中心的护理要素是必要的，但他们并未将这些概念纳入日常护理实践中，以维持对以家庭为中心的护理模式的认可。需要进一步研究，以探讨泰国护士如何理解和实施以家庭为中心的护理，以及如何改进医院管理和环境以支持这种护理模式。
