在住院期间,医疗复杂性的儿童的护理人员应对因素
Kathleen D Krieg1, Reza Yousefi Nooraie2, Maria Favella3
1University of Rochester School of Medicine and Dentistry, Rochester, New York.
Hospital pediatrics
|November 16, 2023
概括
医疗复杂性儿童 (CMC) 的照顾者在优先考虑孩子,信任医疗团队并将自我照顾适应医院时最好地应对. 干预措施可以加强这些应对策略,以获得更好的支持.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 护理人员支持护理人员支持
- 儿童时期的医疗复杂性
背景情况:
- 患有医疗复杂性 (CMC) 的儿童面临着独特的护理挑战.
- 护理人员的福祉对于有效管理CMC至关重要.
- 住院治疗加剧了CMC家庭的压力因素.
研究的目的:
- 在住院期间为CMC的护理人员确定关键的应对因素.
- 了解护理人员关于管理住院相关压力因素的观点.
- 为这些家庭提供支持性干预措施的发展提供信息.
主要方法:
- 通过视频会议与CMC的14名护理人员进行了半结构化采访.
- 采用了修改后的基础理论方法来进行定性数据分析.
- 采用了主题分析,共识建设和与家庭咨询委员会进行三角分析.
主要成果:
- 确定了三个主要主题,有助于护理人员应对.
- 照顾者报告说,他们优先考虑孩子的需求而不是自己的需求.
- 对跨学科的医疗团队和适应的自我护理实践的信任是显著的.
- 成功应对包括调整自我护理以适应医院环境.
结论:
- 在住院期间,为CMC的护理人员确定了三个核心应对因素.
- 加强这些应对实践的干预措施可以改善护理人员的支持.
- 未来的干预措施应侧重于结构化的护理人员参与和调整应对机制以适应医院环境.
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