Mathisen Haaland Ingrid Elisabeth, Bondas Terese Elisabet
Faculty of Health Sciences, University of Stavanger, Norway.
Glob Qual Nurs Res. 2024 Aug 24;11:23333936241267003. doi: 10.1177/23333936241267003. eCollection 2024 Jan-Dec.
The aim of the study was to explore and describe how public health nurses at child health clinics experience and perceive the follow-up of children and families when there is concern about the child's care. The goal was to contribute to knowledge development to guide health-promoting nursing care for children and their families. Theoretical perspectives included health promotion, child-centered and family-centered care, in addition to nursing care. An exploratory qualitative design informed by a hermeneutic approach was used. Data were collected in 3 focus groups with 16 public health nurses and analyzed using latent content analysis. The findings detail public health nurses' internal negotiation processes in the follow-up of children and the family, and the ways these negotiation processes were influenced by various prerequisites, the approaches for follow-up, dilemmas that affected public health nurses' approaches, and prolonged dwellings on past responses to children and families of concern. The lack of routines and goals for follow-up, a dominant parental perspective, and ambiguity related to health promotion and disease prevention, all created challenges for the public health nurses. Based on these findings, a model of public health nurse's follow-up when there is concern about the child's care was developed for future research.
本研究的目的是探讨和描述儿童健康诊所的公共卫生护士在担心儿童护理时，如何体验和看待对儿童及其家庭的随访。目标是为知识发展做出贡献，以指导促进儿童及其家庭健康的护理。理论视角包括健康促进、以儿童为中心和以家庭为中心的护理，以及护理。采用了一种基于诠释学方法的探索性定性设计。通过3个焦点小组对16名公共卫生护士进行数据收集，并使用潜在内容分析法进行分析。研究结果详细阐述了公共卫生护士在对儿童及其家庭进行随访时的内部协商过程，以及这些协商过程如何受到各种前提条件、随访方法、影响公共卫生护士方法的困境以及对过去对相关儿童及其家庭的回应的长期思考的影响。随访缺乏常规和目标、父母的主导观点以及与健康促进和疾病预防相关的模糊性，都给公共卫生护士带来了挑战。基于这些发现，开发了一个关于公共卫生护士在担心儿童护理时的随访模型，以供未来研究使用。
