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约旦急性儿科护理环境中护士对以家庭为中心的护理的认知和态度。

Nurses' Perceptions and Attitudes toward Family-Centered Care in Acute Pediatric Care Settings in Jordan.

机构信息

The University of Jordan, School of Nursing, Maternal and Child Health Nursing Department, Jordan.

The University of Jordan, School of Nursing, Maternal and Child Health Nursing Department, Jordan; School of Nursing and Midwifery, Edith Cowan University, Australia.

出版信息

J Pediatr Nurs. 2021 Nov-Dec;61:207-212. doi: 10.1016/j.pedn.2021.05.018. Epub 2021 Jun 11.

DOI:10.1016/j.pedn.2021.05.018
PMID:34120069
Abstract

PURPOSE

Perceptions and attitudes toward working with parents may influence nurses' family-centered clinical care practices. There is a paucity of research measuring family-centered care among nurses working with children and their parents in Jordan. The purpose of this study was to explore nurses' perceptions of family-centered care by examining nurses' attitudes toward working with children and their parents, as well as toward family-centeredness. Also investigated was the extent to which the selected demographic characteristics of nurses explain the discrepancies between their child- and parent-focused attitudes.

DESIGN AND METHODS

Using a cross-sectional descriptive study, 246 nurses completed the 'Working with families' questionnaire. A paired t-test used to compare the working with children versus working with parents' attitude scores, and independent t-test and ANOVA to explore the influence of nurses' demographic characteristics attitude scores.

RESULTS

The nurses scored higher for working with children than with parents, suggesting more positive attitudes toward the former than the latter (p < 0.001). The family-centeredness scores varied with nurses' years of clinical experience (p < 0.001) and years of employment (p < 0.005).

CONCLUSIONS

The applicability of the family-centered care model in Jordan's hospitals is challenged by the fact that pediatric nurses register more positive attitudes for working with children than with parents.

PRACTICE IMPLICATIONS

Nurses' attitude toward working with children's families requires more evaluation prior to implementing family-centered care in practice. Further research is needed to explore factors contributing to discrepancies between child- and parent-focused attitudes among nurses.

摘要

目的

对与父母合作的看法和态度可能会影响护士以家庭为中心的临床护理实践。在约旦,针对与儿童及其父母一起工作的护士进行的以家庭为中心的护理研究很少。本研究的目的是通过检查护士对以家庭为中心的护理的看法,来探讨护士对与儿童及其父母一起工作的看法,以及对以家庭为中心的看法。还研究了护士的某些人口统计学特征对其以儿童和父母为中心的态度差异的解释程度。

设计和方法

采用横断面描述性研究,246 名护士完成了“与家庭合作”问卷。采用配对 t 检验比较与儿童工作与与父母工作的态度得分,采用独立 t 检验和 ANOVA 探索护士人口统计学特征对态度得分的影响。

结果

护士对与儿童工作的评分高于与父母工作的评分,这表明他们对前者的态度比对后者更积极(p < 0.001)。家庭中心性评分随护士的临床工作经验年限(p < 0.001)和工作年限(p < 0.005)而变化。

结论

在约旦医院,家庭为中心的护理模式的适用性受到挑战,因为儿科护士对与儿童合作的态度比与父母合作的态度更为积极。

实践意义

在实践中实施以家庭为中心的护理之前,需要对护士对儿童家庭的工作态度进行更多的评估。需要进一步研究以探讨造成护士对儿童和父母态度差异的因素。

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