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护士对葡萄牙儿科医院及儿童/青少年和家长初级保健中健康教育的评估

Nurse's Evaluation on Health Education in Portuguese Pediatric Hospitals and Primary Care for Children/Young and Parents.

作者信息

Pereira Anabela Fonseca, Escola Joaquim, Rodrigues Vitor, Almeida Carlos

机构信息

Higher School of Health, Portuguese Red Cross Alto Tâmega, 5400-673 Chaves, Portugal.

Institute of Philosophy of the University of Porto, School of Human and Social Sciences, University of Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal.

出版信息

Children (Basel). 2022 Apr 1;9(4):486. doi: 10.3390/children9040486.

Abstract

AIM

This study aimed to analyze the nurse's evaluation of the health education practice to children and parents.

METHODS

This is a descriptive and transversal research with a quantitative approach. The selection took place by non-probabilistic convenience sampling, and was developed with nurses on health units for pediatric hospitalization and primary health care in northern Portugal (Trás-os-Montes and Alto Douro Hospital Center, EPE, Northern Regional Health Administration, Northern Local Health Unit, EPE.). Data were collected using a questionnaire with a sample of 311 nurses in the second semester of 2018.

RESULTS

77.5% ( = 241) of nurses perform health education daily; 65% ( = 202) prepare according to the identified needs; the "Identification of children/young and parents' health priorities" was considered to be the most facilitating element ( = 279; 89.7%); the most difficult element was the "Fear of confidentiality breach by the children/young and parents" (74.6%; = 232); and 65.9% ( = 205) of nurses considered this practice to have equal importance compared to other nursing interventions. It was also found that academic/professional qualifications and the place of professional practice influence the importance that nurses attribute to HE practice.

CONCLUSIONS

We can state that there is an appreciation of the binomial child and parents for a better identification of needs, and of the importance attributed to the current legal guidelines (letting themes leading to good health practices be addressed by nurses), which translates into a practice capable of influencing the determinants of health, which promotes health-enhancing behaviors and thus both leads to health gains and reinforces the nurse's position as health-promoting agents.

摘要

目的

本研究旨在分析护士对儿童及家长健康教育实践的评价。

方法

这是一项采用定量方法的描述性横断面研究。通过非概率便利抽样进行选择,研究对象为葡萄牙北部儿科住院和初级卫生保健机构的护士(特拉索斯蒙特斯和杜罗河上游医院中心、EPE、北部地区卫生管理局、北部地方卫生单位、EPE)。2018年下半年,通过问卷调查收集了311名护士的数据。

结果

77.5%(n = 241)的护士每天开展健康教育;65%(n = 202)根据确定的需求进行准备;“确定儿童/青少年及家长的健康优先事项”被认为是最具促进作用的因素(n = 279;89.7%);最困难的因素是“担心儿童/青少年及家长违反保密规定”(74.6%;n = 232);65.9%(n = 205)的护士认为这种实践与其他护理干预措施具有同等重要性。还发现,学术/专业资格和专业实践地点会影响护士对健康教育实践的重视程度。

结论

我们可以指出,儿童与家长这一双重因素受到重视,有助于更好地确定需求,且重视现行法律准则(让护士处理有助于健康实践的主题),这转化为一种能够影响健康决定因素的实践,促进健康行为,从而带来健康收益,并强化护士作为健康促进者的地位。

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