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以患者和家庭为中心的儿童护理:概念分析

Patient and family-centered care for children: A concept analysis.

作者信息

Seniwati Tuti, Rustina Yeni, Nurhaeni Nani, Wanda Dessie

机构信息

Postgraduate Program, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.

Pediatric Nursing Department, Faculty of Nursing, Universitas Hasanuddin, Makassar, Indonesia.

出版信息

Belitung Nurs J. 2023 Feb 12;9(1):17-24. doi: 10.33546/bnj.2350. eCollection 2023.

Abstract

BACKGROUND

Family-centered care has evolved into patient and family-centered care. Although this is not a new concept; however, its application to nursing practice is very challenging among nurses due to its ambiguity.

OBJECTIVE

This study aimed to clarify the concept of patient and family-centered care for children.

METHODS

Walker and Avant's concept analysis method was used. A literature search was also done using the following databases: Google Scholar, ProQuest, ScienceDirect, and Scopus, for articles published from 2011 to 2021.

RESULTS

The defining attributes of patient and family-centered care are partnership, communication, respect, and compassion. Antecedents include patient and family involvement, readiness to collaborate and participate, competency and desire of the care professional team, supportive environment, and policies. Consequences of the patient and family-centered care include improved child outcomes and quality of life, promotion of patient safety, increased patient and family satisfaction, enhancement of humanistic values, reduction of hospitalization cost and length of stay, and decreased stress, anxiety, and depression in family members.

CONCLUSION

Four attributes of patient and family-centered care, its antecedents, and consequences may aid researchers in better understanding the concept and its application in nursing practice. This concept can also be used to establish quality care delivery strategies and promote professional relationships between nurses, patients, and families in clinical settings.

摘要

背景

以家庭为中心的护理已演变为以患者和家庭为中心的护理。尽管这不是一个新概念;然而,由于其定义模糊,在护士中将其应用于护理实践极具挑战性。

目的

本研究旨在阐明儿童以患者和家庭为中心的护理概念。

方法

采用沃克和阿凡特的概念分析法。还使用以下数据库进行文献检索:谷歌学术、ProQuest、ScienceDirect和Scopus,检索2011年至2021年发表的文章。

结果

以患者和家庭为中心的护理的定义属性为伙伴关系、沟通、尊重和同情。前提条件包括患者和家庭的参与、合作与参与的意愿、护理专业团队的能力和愿望、支持性环境及政策。以患者和家庭为中心的护理的结果包括改善儿童结局和生活质量、促进患者安全、提高患者和家庭满意度、增强人文价值观、降低住院费用和缩短住院时间,以及减轻家庭成员的压力、焦虑和抑郁。

结论

以患者和家庭为中心的护理的四个属性、其前提条件和结果可能有助于研究人员更好地理解该概念及其在护理实践中的应用。这一概念还可用于制定优质护理提供策略,并促进临床环境中护士、患者和家庭之间的专业关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/872a/10353635/389c751d65c2/BNJ-9-1-017-g001.jpg

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