Eklund Anna-Lena, Jangsten Elisabeth, Gunnarsdóttir Hrafnhildur
Department of Health Sciences, University West, Sweden.
Institue of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
J Pediatr Nurs. 2022 Mar-Apr;63:e95-e101. doi: 10.1016/j.pedn.2021.10.006. Epub 2021 Oct 20.
One of the main tasks of a child health care nurse is to assess and promote a responsive interaction and secure connection between children and their parents for the future. This study aims to develop an understanding of Swedish child health care nurses´ experiences of assessing and promoting responsive interaction between parents and children.
A qualitative interview study using an inductive approach was implemented. Eleven nurses were interviewed (range: 30-58 min) during the period March to August 2016, and the transcripts were analysed using qualitative content analysis according to Graneheim and Lundman.
Three categories emerged: Interpreting signals in parent and child behaviour, Reinforcing the parents in their role and Feeling inadequate as professional. Interpreting signals in parent and child behaviour was described fundamental when promoting responsive interaction. Further reinforcing the parents in their role was described central. The child health care nurses also described how they often felt inadequate in promoting responsive interaction.
Assessing and promoting responsive interaction is an important but challenging task which requires extensive knowledge and good communication skills. The child health care nurses express their insufficiency in that regard.
A targeted education and sufficient time for each visit at the child health care center should be allocated to facilitate the important work on parenting and child interaction and to enhance nurses' feelings of managing their work.
儿童保健护士的主要任务之一是评估并促进儿童与其父母之间建立积极响应的互动以及稳固的情感联系，为孩子的未来奠定基础。本研究旨在深入了解瑞典儿童保健护士在评估和促进亲子间积极响应互动方面的经验。
采用归纳法进行定性访谈研究。2016年3月至8月期间，对11名护士进行了访谈（时长30 - 58分钟），并根据格拉内海姆和伦德曼的方法，运用定性内容分析法对访谈记录进行分析。
出现了三个类别：解读亲子行为中的信号、强化父母的角色以及作为专业人员感到能力不足。促进积极响应互动时，解读亲子行为中的信号被视为基础。进一步强化父母的角色被认为是核心。儿童保健护士还描述了他们在促进积极响应互动方面常常感到力不从心。
评估和促进积极响应互动是一项重要但具有挑战性的任务，需要广泛的知识和良好的沟通技巧。儿童保健护士在这方面表现出自身的不足。
应在儿童保健中心进行有针对性的教育，并为每次就诊分配足够的时间，以促进育儿和亲子互动方面的重要工作，并增强护士对工作的掌控感。
