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“我做的对吗?”护士照顾受虐儿童的经历:一项定性研究。

"Did I do the right thing?" Nurses' experiences of caring for victims of child maltreatment: A qualitative study.

机构信息

Assistant Professor, Duquesne University, 600 Forbes Avenue, Pittsburgh, PA 15282, USA.

Professor Duquesne University, 600 Forbes Avenue, Pittsburgh, PA 15282, USA.

出版信息

J Pediatr Nurs. 2024 May-Jun;76:45-51. doi: 10.1016/j.pedn.2024.02.002. Epub 2024 Feb 14.

Abstract

PURPOSE

The purpose of this study is to explore and gain insight into pediatric nurses' lived experiences in caring for children who experienced maltreatment.

DESIGN AND METHOD

A qualitative descriptive phenomenological approach using Giorgi's method was used to support the inquiry of this study. Participants were recruited through the Society of Pediatric Nurses (SPN) and the International Association of Forensic Nursing (IAFN). To collect data, the research team conducted semi-structured interviews individually with each participant online via online video conferencing.

RESULTS

A total of 21 nurses participated in the study. In the final analysis of data, six meaning units are found: (1) helplessly watching children relive the traumatizing events, (2) lack of knowledge and training on caring for children who experienced maltreatment, (3) adversarial relationship and resentment towards parents, (4) conflicting emotions and feelings, (5) long-lasting effects of trauma, and (6) feelings of isolation and loneliness.

CONCLUSIONS

Pediatric and forensic nurses' experiences of caring for children who experienced maltreatment were highlighted by the fact that they lacked the knowledge of caring for these children and felt isolated.

PRACTICE IMPLICATIONS

Implementing simulation training on nurses' knowledge and confidence in caring for children who experienced maltreatment is a paramount of importance. This in turn may improve nurses' sense of belonging and enhance the quality of care victims receive.

摘要

目的

本研究旨在探讨并深入了解护理遭受虐待儿童的儿科护士的亲身经历。

设计与方法

采用 Giorgi 方法的定性描述现象学方法支持了本研究的探究。参与者通过儿科护士协会 (SPN) 和国际法医护士协会 (IAFN) 招募。为了收集数据,研究团队通过在线视频会议对每个参与者进行了单独的半结构化访谈。

结果

共有 21 名护士参与了这项研究。在对数据的最终分析中,发现了六个有意义的单位:(1)无助地看着孩子重温创伤事件,(2)缺乏照顾遭受虐待儿童的知识和培训,(3)与父母的敌对关系和怨恨,(4)冲突的情绪和感受,(5)创伤的持久影响,以及(6)孤立和孤独的感觉。

结论

儿科和法医护士在照顾遭受虐待儿童方面的经历突出表现在他们缺乏照顾这些儿童的知识,并且感到孤立。

实践意义

对护士在照顾遭受虐待儿童方面的知识和信心进行模拟培训至关重要。这反过来又可以提高护士的归属感,并提高受害者接受的护理质量。

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