Romaniuk D K, Kristjanson L J
Hospital for Sick Children, Toronto, Ontario, Canada.
J Pediatr Oncol Nurs. 1995 Apr;12(2):80-9; discussion 90-2. doi: 10.1177/104345429501200207.
Research to date has overlooked the specific relationship between parents and nurses, particularly in the context of family-centered care for a hospitalized child with cancer. The purpose of this study was to describe how parents perceive the relationship with the pediatric staff nurse necessitated by the hospitalization of their child with cancer. Using a symbolic interactionist framework and a modified grounded theory methodology, this study explored the parent-nurse relationship when a child with cancer is hospitalized. A purposive, theoretical quota sampling method was used to recruit 16 parents. Both parents' and nurses' care were examined from the parents' perspectives; mothers and fathers were interviewed separately. Analysis of the data led to the development of a substantive theory describing parent care (Making it Better), nursing care (Going Through the Motions, Caring Incompletely and Caring Completely), and the parent-nurse relationship (Working Together). Conditions influencing the care provided by parents and nurses and in turn the parent-nurse relationship were also identified. This research describes strategies nurses use to enhance the family-centered care they provide and reveals the effect nursing care has on parents' hospital experiences. Recommendations are made for nursing research, practice, and education.
迄今为止的研究忽略了父母与护士之间的特定关系,尤其是在为患有癌症的住院儿童提供以家庭为中心的护理的背景下。本研究的目的是描述父母如何看待因孩子患癌症住院而与儿科病房护士建立的关系。本研究采用象征互动主义框架和改良的扎根理论方法,探讨了患癌症儿童住院时的亲子护士关系。采用目的抽样、理论配额抽样方法招募了16位家长。从家长的角度审视了家长和护士的护理工作;分别对母亲和父亲进行了访谈。数据分析得出了一个实质性理论,描述了家长护理(使其更好)、护理工作(走过场、不完全关心和完全关心)以及亲子护士关系(共同努力)。还确定了影响家长和护士提供护理进而影响亲子护士关系的条件。本研究描述了护士用来加强他们提供的以家庭为中心护理的策略,并揭示了护理对家长住院体验的影响。针对护理研究、实践和教育提出了建议。