护士在实施以家庭为中心的护理预防儿科谵妄的前提条件方面的体验。
Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium.
机构信息
Author Affiliations: Professor (Dr Pölkki), Research Unit of Health Sciences and Technology, University of Oulu, Finland (Saarenpää, Drs Jansson and Kerimaa, and Alanko); Royal Melbourne Institute of Technology (RMIT University), Australia (Dr Jansson); and MRC Oulu, Oulu University Hospital and University of Oulu (Drs Jansson, Kerimaa, Peltoniemi, Tervonen, and Pölkki); Department of Children and Adolescents, Oulu University Hospital (Drs Peltoniemi and Tervonen, and Lahtela); and Research Unit of Clinical Medicine, University of Oulu, Finland (Drs Peltoniemi and Tervonen).
出版信息
Clin Nurse Spec. 2024;38(5):221-228. doi: 10.1097/NUR.0000000000000842.
PURPOSE
The aim of this study was to describe nurses' experiences of the prerequisites for implementing family-centered care to prevent pediatric delirium.
DESIGN
The research employed a qualitative, descriptive study design.
METHODS
A total of 10 nurses working in the pediatric intensive care unit at 1 university hospital participated in the study. The quality data were collected using individual semistructured interviews, and the data were then analyzed by inductive content analysis.
RESULTS
The prerequisites for implementing family-centered care to prevent delirium among pediatric patients consisted of 30 subcategories that were grouped into 11 generic categories. The generic categories were further grouped into 5 main categories: (1) an environment that supports family presence, (2) psychosocial support for the family, (3) individual family involvement, (4) family participation in shared decision-making, and (5) nurses' professional competence.
CONCLUSIONS
According to the nurses' experiences, the implementation of a family-centered approach to preventing delirium in pediatric patients requires creating a supportive environment for families, providing psychosocial support, encouraging family involvement in decision-making, and ensuring that all nurses have the necessary skills.
目的
本研究旨在描述护士在实施以家庭为中心的护理预防儿科患者发生谵妄的前提条件方面的经验。
设计
本研究采用了定性、描述性研究设计。
方法
共有 10 名在 1 所大学附属医院儿科重症监护病房工作的护士参与了这项研究。使用个人半结构式访谈收集了质量数据，然后采用归纳内容分析法对数据进行了分析。
结果
预防儿科患者发生谵妄的以家庭为中心的护理实施前提条件包括 30 个子类别，这些子类别被分为 11 个一般类别。一般类别进一步分为 5 个主要类别：（1）支持家庭存在的环境，（2）对家庭的心理社会支持，（3）个体家庭的参与，（4）家庭参与共同决策，以及（5）护士的专业能力。
结论
根据护士的经验，实施以家庭为中心的方法预防儿科患者发生谵妄需要营造一个支持家庭的环境，提供心理社会支持，鼓励家庭参与决策，并确保所有护士都具备必要的技能。
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