Malepe Tsholofelo C, Havenga Yolanda, Mabusela Paulina D
Adelaide Tambo School of Nursing Science, Faculty of Science, Tshwane University of Technology, Pretoria, South Africa.
Health SA. 2022 Oct 28;27:1786. doi: 10.4102/hsag.v27i0.1786. eCollection 2022.
Hospitalisation is a stressful event for the admitted child and the family. The unfamiliar and stressful hospital environment could increase children's anxiety and pain experiences. Family-centred care has the potential to promote families' holistic health, but its implementation is limited.
To describe the barriers to family-centred care at a specific hospital in Gauteng.
The study was contextual and was conducted at a specific hospital situated in Gauteng.
A descriptive qualitative research design was used to collect data from 11 nurses and 14 primary caregivers of hospitalised children. Purposive sampling was used. Data were collected using semi-structured interviews and analysed using qualitative content analysis. Rigour through measures to enhance trustworthiness was ensured and ethical principles related to research with human participants were adhered to.
Three themes indicating the barriers to family-centred care emerged from the data, namely nurse-primary caregiver relationship, primary caregiver involvement, and ward structure and policy.
Barriers to family-centred care involved interpersonal, environmental, and managerial dimensions of the hospital environment where children received care and treatment. A need to enhance family-centred care was therefore identified in order to address relational dimensions of the nurse-primary caregiver relationship, ward structure, and revision of current policies.
The article highlights barriers to family-centred care to enable action to be taken in the clinical environment to enhance a family-centred approach and improve the hospitalisation experience for children and caregivers.
住院对入院儿童及其家庭来说是一件压力重重的事情。陌生且充满压力的医院环境可能会增加儿童的焦虑和疼痛体验。以家庭为中心的护理有促进家庭整体健康的潜力，但其实施情况有限。
描述豪登省一家特定医院实施以家庭为中心护理的障碍。
本研究是基于特定背景进行的，在豪登省的一家特定医院开展。
采用描述性定性研究设计，从11名护士和14名住院儿童的主要照顾者那里收集数据。采用目的抽样法。通过半结构化访谈收集数据，并使用定性内容分析法进行分析。通过采取措施提高可信度确保了研究的严谨性，并遵守了与人类参与者研究相关的伦理原则。
数据中出现了三个表明以家庭为中心护理存在障碍的主题，即护士与主要照顾者的关系、主要照顾者的参与以及病房结构和政策。
以家庭为中心护理的障碍涉及儿童接受护理和治疗的医院环境中的人际、环境和管理层面。因此，确定有必要加强以家庭为中心的护理，以解决护士与主要照顾者关系的相关层面、病房结构以及现行政策的修订问题。
本文强调了以家庭为中心护理的障碍，以便在临床环境中采取行动，加强以家庭为中心的方法，改善儿童及其照顾者的住院体验。
