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[The theory of dependent-care--a conceptual framework for assessing, supporting, and promoting parental competencies]
1Klinikum Stuttgart, Bildungszentrum, Schule für Gesundheits- und Kinderkrankenpflege, Hegelstrasse 4, D-70174 Stuttgart. elis.holoch@t-online.de
Insights
Parental competencies are crucial for child health and development, especially in infants. Paediatric nurses can support parents by using the Theory of Dependent-Care and Dependent-Care Agency to assess and promote these essential skills.
Area of Science:
- Child Health
- Developmental Psychology
- Nursing Theory
Background:
- Parental competencies significantly impact child healthcare needs and healthy development, particularly in infants and young children.
- Infants rely on caregivers for self-regulation development, and increasing childhood disorders suggest a need for enhanced parental support.
- Paediatric nurses are vital in supporting parental competencies when a clear framework is available.
Purpose of the Study:
- To present the Theory of Dependent-Care and Dependent-Care Agency.
- To examine how these concepts can provide a theoretical framework for paediatric nurses.
- To systematically assess, support, and promote parental competencies.
Main Methods:
- Theoretical examination of the Theory of Dependent-Care and Dependent-Care Agency.
- Application of these concepts to the role of paediatric nurses in supporting parental competencies.
- Identification of areas for future research.
Main Results:
- The Theory of Dependent-Care and Dependent-Care Agency offer a robust framework for paediatric nurses.
- This framework enables systematic assessment and promotion of parental competencies.
- Supports the development of self-regulation in infants and young children.
Conclusions:
- The presented theories provide a valuable theoretical foundation for paediatric nursing practice.
- Further research is needed to refine the conceptualization of the Theory of Dependent-Care.
- Enhancing parental competencies through nursing interventions is essential for child well-being.
Abstract:
Parental competencies have influence on the professional health care needs of a child and its caregivers. One reason for this is the influence of parental competencies on the healthy development of the child. This applies especially to infants and young children. In order to develop their inborn abilities to regulate themselves and their behaviour, infants and young children are dependent on the perception of and appropriate response to their behaviour by the persons they are most closely attached to. The differentiation of self-regulating abilities is a precondition for a healthy development. The current rise of sleeping and feeding disorders, as well as interaction problems among infants and young children, indicates that parents are increasingly dependent on support in the perception and development of their parental competencies. Paediatric nurses can make an important contribution to this, where a concept of parental competencies, defined by nursing professionals, is available. The Theory of Dependent-Care and especially the concept of Dependent-Care Agency will be presented in this paper. It will be examined how they can provide a theoretical framework for the systematic assessment, support, and promotion of parental competencies by paediatric nurses. To conclude, issues for further investigation of parental Dependent-Care Agency and the necessity for a more detailed conceptualisation of the Theory of Dependent-Care will be demonstrated.
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