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对儿童健康服务中专业人员与家长关系中的沟通进行的综合综述:专制还是指导方法。

An integrative review of communication in a professional-parental relationship provided in child health services: An authoritarian or guiding approach.

作者信息

Harder Maria, Höglander Jessica, Engström Heléne Appelgren, Holmström Inger K, Blomberg Helena

机构信息

School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.

School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.

出版信息

Patient Educ Couns. 2023 Oct 21;118:108029. doi: 10.1016/j.pec.2023.108029.

DOI:10.1016/j.pec.2023.108029
PMID:39491982
Abstract

OBJECTIVES

Early parental support, provided by nurses within child health services, aims to strengthen parents in their parenthood. The aim of this integrative review is to describe communication in parental support in encounters between child health nurses and parents in child health services.

METHODS

An integrative review was conducted. The databases Cinahl+ , MedLine, Psych Info, and Scopus were searched, 312 articles were screened, and 16 articles were found to be eligible.

RESULTS

The studies included qualitative and quantitative methods, using interviews, focus group interviews, and observations. The findings show an overarching theme: The significance of mutuality in communication in a professional-parental relationship, further described in the following categories, 1) Authoritarian approach: a controlling manner, a neglecting manner, and a teaching manner; 2. Guiding approach: a counselling manner and a compliant manner.

CONCLUSIONS

The communication between nurses and parents can be understood as having several layers; the organisational context, the professional skills, knowledge, and experiences, and parents' knowledge, expectations, and needs. There is a lack of studies of authentic communication between nurses and parents; thus, future research is warranted.

PRACTICE IMPLICATIONS

The authoritarian and guiding approaches in parental support show the required skills a nurse is expected to have, but sufficient organizational prerequisites are also crucial.

摘要

目的

儿童健康服务机构的护士提供的早期父母支持旨在增强父母的育儿能力。本整合性综述的目的是描述儿童健康服务机构中儿童健康护士与父母在育儿支持互动中的沟通情况。

方法

进行了一项整合性综述。检索了CINAHL+、MedLine、Psych Info和Scopus数据库,筛选了312篇文章,发现16篇文章符合要求。

结果

这些研究采用了定性和定量方法,包括访谈、焦点小组访谈和观察。研究结果显示了一个总体主题:专业-父母关系中沟通中相互性的重要性,可进一步分为以下几类:1)专制方式:控制方式、忽视方式和教导方式;2)引导方式:咨询方式和顺从方式。

结论

护士与父母之间的沟通可理解为有多个层面;组织背景、专业技能、知识和经验,以及父母的知识、期望和需求。目前缺乏关于护士与父母之间真实沟通的研究;因此,未来有必要进行研究。

实践意义

育儿支持中的专制和引导方式显示了护士应具备的所需技能,但充分的组织前提条件也至关重要。

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