Huang Wei Xiao, Chong Mei Chan, Tang Li Yoong, Liu Xiao Xia
Department of Nursing Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia; Department of Nursing Science, School of medicine & nursing, Huzhou University, Huzhou, China.
Department of Nursing Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
J Pediatr Nurs. 2025 Jan-Feb;80:e7-e15. doi: 10.1016/j.pedn.2024.10.035. Epub 2024 Nov 7.
This study aims to analyze the concept of Child-friendly Healthcare (CFH) using Walker and Avant's conceptual analysis framework to clarify its meaning, attributes, and implications for clinical practice.
The study employed Walker and Avant's conceptual analysis method, which involves a systematic process comprising concept selection, setting objectives, exploring potential uses, defining attributes, constructing a model case, identifying contrary cases, determining antecedents and consequences, and examining empirical referents. A scoping review was conducted across multiple sources, including online dictionaries, scientific databases, and grey literature, with a focus on literature relevant to CFH.
A total of 37 articles were reviewed, revealing diverse definitions and interpretations of CFH across various contexts. The concept was defined by five key attributes: (1) child interests-prioritized quality services, (2) child-friendly environments and spaces, (3) social interaction, (4) child participation, and (5) development facilitation. The study also identified the antecedents and consequences of CFH, developed model and contrary cases, and examined empirical referents to offer a comprehensive understanding of the concept.
This analysis effectively clarified the concept of CFH, highlighting its core attributes and providing valuable insights for clinical nursing practice. The findings suggest that CFH can be used as a framework to guide child-centered healthcare practices, thereby enhancing the quality of care provided to pediatric patients.
Conducting a concept analysis of CFH can significantly contribute to improving patient health outcomes, supporting institutional development, and fostering future research and practical applications in child healthcare settings.
本研究旨在运用沃克和阿凡特的概念分析框架分析儿童友好型医疗保健(CFH)的概念,以阐明其含义、属性及对临床实践的启示。
本研究采用沃克和阿凡特的概念分析方法,该方法包括一个系统的过程,涵盖概念选择、设定目标、探索潜在用途、定义属性、构建模型案例、识别相反案例、确定前因后果以及检验实证参照。对包括在线词典、科学数据库和灰色文献在内的多个来源进行了范围综述,重点关注与CFH相关的文献。
共审查了37篇文章,揭示了CFH在不同背景下的多种定义和解释。该概念由五个关键属性定义:(1)以儿童利益为优先的优质服务,(2)儿童友好的环境和空间,(3)社会互动,(4)儿童参与,以及(5)促进发展。该研究还确定了CFH的前因后果,构建了模型案例和相反案例,并检验了实证参照,以全面理解该概念。
该分析有效地阐明了CFH的概念,突出了其核心属性,并为临床护理实践提供了有价值的见解。研究结果表明,CFH可作为一个框架来指导以儿童为中心的医疗保健实践,从而提高为儿科患者提供的护理质量。
对CFH进行概念分析可显著有助于改善患者健康结局、支持机构发展,并促进儿童医疗保健领域未来的研究和实际应用。