University of Ottawa, Faculty of Health Sciences, School of Nursing, 451 Smyth Road, Room 3251, Ottawa, Ontario K1H 8M5, Canada; Children's Hospital of Eastern Ontario, Ontario, Canada.
University of Ottawa, Faculty of Health Sciences, School of Nursing, 451 Smyth Road, Room 3251C, Ottawa, Ontario K1H 8M5, Canada.
J Pediatr Nurs. 2023 May-Jun;70:26-33. doi: 10.1016/j.pedn.2023.01.008. Epub 2023 Feb 14.
Mutuality is often used in literature in the context of family-centered care and therapeutic relationship building. A therapeutic relationship is necessary to deliver family-centered care, strengthen family health and function, increase patient and family satisfaction, reduce anxiety, and empower decision-makers. Despite mutuality being such an important concept, it is not well defined in the literature.
The Walker and Avant method for concept analysis was used. The databases Medline, PSYCHInfo, CINHAL and Nursing & Allied Health were searched for texts in English from 1997 to 2021 using specific search terms.
Of the 248 results, 191 articles were screened and 48 met inclusion criteria.
Mutuality was found to be a process of dynamic reciprocity whereby the partners contribute uniquely to their shared goals, values, or purposes.
Mutuality is an important aspect of family-centered care and is used throughout nursing and advanced nursing practice.
The concept of mutuality should be incorporated into family-centered care policies, as without it, family-centered care cannot be established. Further research should be done to develop methods or educational techniques to establish and maintain mutuality in advanced nursing practice.
相互性在以家庭为中心的护理和治疗关系建立的背景下经常在文献中使用。为了提供以家庭为中心的护理，增强家庭健康和功能，提高患者和家庭满意度，减轻焦虑并增强决策者的能力，治疗关系是必要的。尽管相互性是如此重要的概念，但在文献中并没有得到很好的定义。
采用沃克和阿凡特的概念分析方法。使用特定的搜索词，在 Medline、PSYCHInfo、CINHAL 和护理与联合健康数据库中，对 1997 年至 2021 年的英文文本进行了搜索。
在 248 个结果中，筛选了 191 篇文章，有 48 篇符合纳入标准。
相互性被发现是一种动态互惠的过程，合作伙伴各自为共同的目标、价值观或目的做出独特的贡献。
相互性是家庭为中心的护理的一个重要方面，贯穿于护理和高级护理实践中。
相互性的概念应该纳入以家庭为中心的护理政策，因为没有相互性，就不可能建立以家庭为中心的护理。应该进一步研究制定方法或教育技术，以在高级护理实践中建立和维持相互性。
