在儿科重症监护中探索"家庭":以家庭为中心的护理研究:一个概念分析
Ashleigh E Butler1, Elizabeth Bichard2, Kate Masterson3
1School of Nursing and Midwifery, La Trobe University, Australia.
Intensive & critical care nursing
|February 26, 2025
概括
儿科重症监护室 (PICU) 对以家庭为中心的护理 (FCC) 的研究需要一个更广泛的家庭定义,而不仅仅是父母. 这样可以确保在孩子入住PICU期间为所有家庭成员提供包容性支持.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 家庭为中心的护理研究研究
- 概念分析 概念分析
背景情况:
- 以家庭为中心的护理 (FCC) 是儿科重症监护室 (PICU) 的组成部分.
- 现有的FCC研究往往狭地定义了"家庭",主要关注父母.
- 对于包容性的PICU护理和研究,明确理解"家庭"至关重要.
研究的目的:
- 在现有的儿科重症监护室家庭中心护理研究中,系统地分析"家庭"的概念.
- 确定"家庭"一词在当前的PICU FCC文献中是如何定义和操作的.
- 突出"家庭"定义中的差距,为未来的研究和实践提供信息.
主要方法:
- 采用罗杰斯的进化概念分析方法.
- 在2023年11月对五个主要数据库 (CINAHL,Medline,AMED,PsycINFO,ProQuest) 进行了系统的文献搜索.
- 利用开放式编码来提取数据并分析属性,先例和后果.
主要成果:
- 分析包括了24篇文章.
- 确定的主要属性包括家庭特征,对逆境的认识和不断变化的期望.
- 前例包括一个孩子在PICU, (儿童) 和以家庭为中心的护理原则,以及医院环境.
- 后果影响了PICU内的护理提供和研究设计.
结论:
- 目前,PICU FCC研究缺乏"家庭"的准确定义和运行.
- 这种模糊性会影响护理和研究的设计和有效性.
- 扩大"家庭"的定义,包括祖父母和兄弟姐妹等扩大成员,对于PICU的包容性FCC至关重要.
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