Lim Suk-Jin, Bang Kyung-Sook
Graduate Student, College of Nursing, Seoul National University, Seoul, Korea.
Professor, College of Nursing · The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Child Health Nurs Res. 2023 Jul;29(3):207-217. doi: 10.4094/chnr.2023.29.3.207. Epub 2023 Jul 31.
This study aimed to examine pediatric hospital nurses' perceptions and performance of family-centered care.
A descriptive study design was used. This study surveyed 162 nurses who worked at a single tertiary children's hospital in South Korea. The modified Family-Centered Care Scale was used to assess nurses' perceptions and performance of family-centered care. Barriers to the implementation of family-centered care were described in an open-ended format.
Pediatric hospital nurses had a higher score for perceptions (mean score=4.07) than for performance (mean score=3.77). The collaboration subscale had the lowest scores for both perceptions and performance. The perceptions of family-centered care differed significantly according to the nurses' clinical career in the pediatric unit and familiarity with family-centered care, while performance differed according to clinical career only. Perceptions and performance were positively correlated (r=.594, p<.001). Barriers to implementation included a shortage of nursing personnel, a lack of time, and the absence of a family-centered care system.
To improve the performance of family-centered care, nurses' perceptions of family-centered care should be improved by offering education programs and active support, including sufficient staffing, and establishing systems within hospitals.
本研究旨在探讨儿科医院护士对以家庭为中心护理的认知及实践情况。
采用描述性研究设计。本研究对韩国一家三级儿童医院的162名护士进行了调查。使用改良的以家庭为中心护理量表来评估护士对以家庭为中心护理的认知及实践情况。以开放式形式描述了实施以家庭为中心护理的障碍。
儿科医院护士的认知得分(平均得分=4.07)高于实践得分(平均得分=3.77)。协作子量表在认知和实践方面的得分均最低。根据护士在儿科病房的临床工作经历以及对以家庭为中心护理的熟悉程度,对以家庭为中心护理的认知存在显著差异,而实践仅根据临床工作经历有所不同。认知与实践呈正相关(r=0.594,p<0.001)。实施障碍包括护理人员短缺、时间不足以及缺乏以家庭为中心的护理体系。
为提高以家庭为中心护理的实践水平,应通过提供教育项目和积极支持(包括充足的人员配备)以及在医院内建立相关体系来改善护士对以家庭为中心护理的认知。