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获取瑞典患病儿童的生活经历以用于医疗保健研究。

Accessing the Lived Experiences of Children with Illness in Sweden for Health Care Research.

作者信息

Darcy Laura, Israelsson-Skogsberg Åsa, Kleye Ida, Karlsson Katarina

机构信息

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, 50190 Borås, Sweden.

Department of Health Sciences, University West, 46186 Trollhättan, Sweden.

出版信息

Children (Basel). 2024 Dec 1;11(12):1477. doi: 10.3390/children11121477.

Abstract

BACKGROUND

Children are a relatively marginalized group when doing research in the context of illness, young children particularly so. This even though children can and should contribute their point of view in providing evidence-based care. This article contributes the experiences of Nurse Researchers in gathering research data in Sweden on the lived experiences of children undergoing needle-related medical procedures, living with home mechanical ventilation or undergoing treatment for cancer.

METHODS

Nine published articles from four unique Swedish PhD dissertations in Caring Science formed the basis for the present paper where various open and critical qualitative approaches for gathering data were used.

RESULTS

Accessing and interpreting the lived experiences of ill children in healthcare research presents methodological, ethical, and cultural challenges. As with health care contexts in other countries, capturing the ill child's experiences in Sweden requires several different methods. Health researchers in Sweden must navigate a complex landscape of communication barriers, emotional and psychological challenges, and structural issues within the healthcare system to effectively access and understand the lived experiences of children.

CONCLUSIONS

This paper adds to the knowledge base of research with a focus on gathering the experiences of children with illness within a Swedish health care context. These insights underscore the importance for all researchers of using child-friendly, inclusive methods to understand children's lived experiences thus ensuring their voices are heard and respected in health research. Children's and families' inability to speak the native language of a country cannot be a hinder for inclusion, but rather be encouraged.

摘要

背景

在疾病背景下进行研究时,儿童是一个相对边缘化的群体,幼儿尤其如此。尽管儿童能够且应该在提供循证护理方面贡献自己的观点。本文介绍了瑞典护理研究人员在收集有关接受与针头相关医疗程序、居家使用机械通气或接受癌症治疗的儿童的生活经历的研究数据方面的经验。

方法

来自瑞典四篇独特的护理学博士论文中的九篇已发表文章构成了本文的基础,文中使用了各种开放式和批判性的定性数据收集方法。

结果

在医疗保健研究中获取和解读患病儿童的生活经历存在方法、伦理和文化方面的挑战。与其他国家的医疗保健环境一样,在瑞典获取患病儿童的经历需要几种不同的方法。瑞典的健康研究人员必须应对医疗保健系统内复杂的沟通障碍、情感和心理挑战以及结构性问题,才能有效地获取和理解儿童的生活经历。

结论

本文增加了以在瑞典医疗保健背景下收集患病儿童经历为重点的研究知识库。这些见解强调了所有研究人员使用对儿童友好、包容性方法来理解儿童生活经历的重要性,从而确保他们的声音在健康研究中得到倾听和尊重。儿童及其家庭不会说某个国家的母语不应成为纳入研究的障碍,而应受到鼓励。

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