Näsström Mathias, Junehag Lena, Häggström Marie, Holmström-Rising Malin
Mid Sweden University, Department of Health Sciences, Nursing, 83125 Östersund, Sweden.
Mid Sweden University, Department of Health Sciences, Nursing, 85170 Sundsvall, Sweden.
Int Emerg Nurs. 2023 Sep;70:101324. doi: 10.1016/j.ienj.2023.101324. Epub 2023 Aug 17.
Ambulance nurses' (ANs) feel less confident treating children. According to the United Nations Convention on Child Rights, there is a provision to safeguard children's rights. Child-Centered Care (CCC) strives to lift children's voices in healthcare.
To describe ambulance nurses' experiences of facilitating child-friendly care.
A qualitative approach with Reflexive Thematic Analysis was performed on seventeen individual semi-structured interviews.
One overarching theme, caring with the child in center, and three themes were developed: adapting to follow the child's lead, being reliable by balancing the trust, stepping back and supporting.
The ANs' communication with the children was honest and straightforward. Letting the child and the parents perform the care together reduced the child's anxiety. Guided participation was used by ANs, expanding the child's initiative.
The ANs work according to CCC, but unknowingly. It is important and beneficial to elevate the CCC to a conscious level. The ANs could refer to CCC in training new colleagues, reflecting on cases, and incorporating the Child Act in their work.
急救护士对治疗儿童缺乏信心。根据《联合国儿童权利公约》，有保障儿童权利的条款。以儿童为中心的护理（CCC）致力于在医疗保健中听取儿童的声音。
描述急救护士在促进关爱儿童护理方面的经历。
对17次个人半结构化访谈采用反思性主题分析的定性方法。
形成了一个总体主题，即以儿童为中心的护理，以及三个主题：顺应儿童的引领、通过平衡信任建立可靠感、退后一步给予支持。
急救护士与儿童的沟通诚实且直接。让儿童和父母一起参与护理可减轻儿童的焦虑。急救护士采用引导式参与，增强了儿童的主动性。
急救护士在不知不觉中按照以儿童为中心的护理模式开展工作。将以儿童为中心的护理提升到有意识的层面很重要且有益。急救护士可以在培训新同事、反思案例以及在工作中纳入《儿童法案》时参考以儿童为中心的护理模式。
