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S.O.S!我的孩子在学校:在学校环境中经历慢性病的解释学。

S.O.S! My Child is at School: A Hermeneutic of the Experience of Living a Chronic Disease in the School Environment.

机构信息

Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba (UCO), Hospital Universitario Reina Sofía (HURS). Avda. Menéndez Pidal s/n, Córdoba, Spain.

Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba (UCO), Hospital Universitario Reina Sofía (HURS). Avda. Menéndez Pidal s/n, Córdoba, Spain..

出版信息

J Pediatr Nurs. 2020 Jul-Aug;53:e171-e178. doi: 10.1016/j.pedn.2020.03.016. Epub 2020 Apr 22.

Abstract

PURPOSE

The purpose of the present study is to understand the experience of living a chronic disease in the school, from the perspective of the parents.

DESIGN AND METHODS

A Grounded Theory study was proposed with a sample of 14 affected families with children between three and eleven years old, all of them from the west and south of Spain. Information was collected using semi-structured surveys and the constant comparative method was used for the analysis.

RESULTS

Results are divided into three main themes: SOS! My child is at school, The Systems (don't) Answer and Families Answer. Parents live school enrolment in a state of constant alertness, characterized by distrust, worry, fear, anguish, and indignation. The responses to the problem given by the education and health systems are insufficient, uncoordinated and inefficient. Therefore, parents end up not expecting anything, they transmit the information, organize training sessions, and solve any occurring incident by themselves, often at the expense of quitting their jobs.

CONCLUSION

The presence of a school nurse would mean for these parents the integration between the education and health systems.

PRACTICE IMPLICATIONS

As findings highlight, more collaboration and sensitivity between the healthcare and educational system is needed, and the school nurse has been indicated as a crucial figure in this matter.

摘要

目的

本研究旨在从家长的角度理解孩子在学校中患慢性病的体验。

设计和方法

本研究采用扎根理论设计,样本为来自西班牙西部和南部的 14 个受影响的有 3 至 11 岁儿童的家庭。使用半结构化调查收集信息,并采用恒定比较法进行分析。

结果

结果分为三个主要主题:“救命!我的孩子在学校”、“系统(不)响应”和“家庭响应”。家长在孩子入学时处于持续警惕状态,表现为不信任、担忧、恐惧、焦虑和愤怒。教育和卫生系统对问题的反应不足、不协调且效率低下。因此,家长最终不再抱有期望,他们只是传递信息、组织培训课程,并自行解决任何发生的事件,往往为此不得不辞职。

结论

学校护士的存在对这些家长来说意味着教育和卫生系统的融合。

实践意义

研究结果强调了医疗保健和教育系统之间需要更多的合作和敏感性,并且学校护士已被指出在这方面是一个关键人物。

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