Department of Child and Adolescent Nursing, Nursing School of Lisbon, Lisbon, Portugal.
Department of Nursing Science, University of Turku, Turku, Finland.
J Adv Nurs. 2020 Dec;76(12):3448-3463. doi: 10.1111/jan.14554. Epub 2020 Sep 30.
To explore the degree of empowering health counselling in well-child visits, considering nurse and family perspectives and to examine its associated factors.
Empowerment has gained high priority in the world health strategy, being claimed for its benefits for people's health and well-being.
The design includes an exploratory cross-sectional, correlational study.
We collected data between January 2018-October 2019 from a convenience sample of 82 families attending a 5-year-old well-child visit and 25 nurses at Portuguese health centres. Families and nurses assessed the same counselling session using parallel statements of the Portuguese Empowering Speech Practice Scale, grouped in two subscales (nurses' action and families' action). Questionnaires also included the Parent's Longitudinal Continuity in Primary Care scale, the Family Nutrition and Physical Activity tool and anthropometric and sociodemographic questions. We employed descriptive statistics, paired-samples t-test, analysis of variance and regression analysis.
Both nurses and families reported that empowerment had been practiced in high degree. The most practiced elements were those from nurses' action subscale (e.g. constructing a positive atmosphere) and the least practiced were from families' action (e.g. disclosure). A discrepancy between nurses' and families' ratings were found for individualized information and advice, disclosure and asking questions, with families reporting higher scores. Nurses' formal training in empowerment and obesity was associated with higher scores on the nurses' action subscale. The families' limited experience with a regular health centre and nurse and families having children with overweight were both associated with lower scores on the two subscales.
Although the positive experience by nurses and families is an important finding, the reasons for the differences in perceptions of empowerment require further research.
The Portuguese Empowering Speech Practice Scale can be a useful tool to evaluate services, both from professionals' and families' perspectives and to identify areas of improvement.
从护士和家庭的角度探讨幼儿保健访视中赋权健康咨询的程度，并探讨其相关因素。
赋权在世界卫生战略中受到高度重视，据称这对人们的健康和福祉有益。
本设计包括一项探索性的横断相关研究。
我们于 2018 年 1 月至 2019 年 10 月间，从参加 5 岁幼儿保健访视的 82 个家庭和葡萄牙卫生中心的 25 名护士中，选取了一个方便样本，收集了数据。家庭和护士使用葡萄牙赋权演讲实践量表的平行陈述，评估了同一咨询课程，分为两个子量表（护士行动和家庭行动）。问卷还包括父母在初级保健中的纵向连续性量表、家庭营养和体育活动工具以及人体测量学和社会人口学问题。我们采用了描述性统计、配对样本 t 检验、方差分析和回归分析。
护士和家庭都报告说，已经高度实践了赋权。最常实践的元素是来自护士行动子量表的元素（例如营造积极的氛围），而最少实践的元素是来自家庭行动子量表的元素（例如披露）。护士和家庭之间在个性化信息和建议、披露和提问方面存在差异，家庭的评分更高。护士在赋权和肥胖方面的正规培训与护士行动子量表的高分相关。家庭在常规保健中心和护士方面的有限经验，以及家庭中的孩子超重，与两个子量表的低评分均相关。
尽管护士和家庭的积极体验是一个重要的发现，但需要进一步研究赋权认知差异的原因。
葡萄牙赋权演讲实践量表可作为评估服务的有用工具，既可以从专业人员和家庭的角度进行评估，也可以识别需要改进的领域。
