Public Health Nurses in an Internal Negotiation Process When There Is Concern About the Child's Care.

IF 2.2 Q1 NURSING
Global Qualitative Nursing Research Pub Date : 2024-08-24 eCollection Date: 2024-01-01 DOI:10.1177/23333936241267003
Ingrid Elisabeth Mathisen Haaland, Terese Elisabet Bondas
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引用次数: 0

Abstract

The aim of the study was to explore and describe how public health nurses at child health clinics experience and perceive the follow-up of children and families when there is concern about the child's care. The goal was to contribute to knowledge development to guide health-promoting nursing care for children and their families. Theoretical perspectives included health promotion, child-centered and family-centered care, in addition to nursing care. An exploratory qualitative design informed by a hermeneutic approach was used. Data were collected in 3 focus groups with 16 public health nurses and analyzed using latent content analysis. The findings detail public health nurses' internal negotiation processes in the follow-up of children and the family, and the ways these negotiation processes were influenced by various prerequisites, the approaches for follow-up, dilemmas that affected public health nurses' approaches, and prolonged dwellings on past responses to children and families of concern. The lack of routines and goals for follow-up, a dominant parental perspective, and ambiguity related to health promotion and disease prevention, all created challenges for the public health nurses. Based on these findings, a model of public health nurse's follow-up when there is concern about the child's care was developed for future research.

公共卫生护士在关注儿童护理问题时的内部协商过程。
本研究旨在探讨和描述儿童保健诊所的公共卫生护士在对儿童及其家庭的护理问题感到担忧时,是如何体验和感知对儿童及其家庭的跟踪服务的。目的是为知识发展做出贡献,以指导为儿童及其家庭提供促进健康的护理服务。除护理外,理论视角还包括健康促进、以儿童为中心和以家庭为中心的护理。研究采用了诠释学方法的探索性定性设计。通过 3 个焦点小组收集了 16 名公共卫生护士的数据,并使用潜在内容分析法对数据进行了分析。研究结果详细说明了公共卫生护士在对儿童和家庭进行跟踪时的内部协商过程,以及这些协商过程如何受到各种先决条件、跟踪方法、影响公共卫生护士方法的困境以及对过去对儿童和相关家庭所做反应的长期纠缠的影响。缺乏后续行动的常规和目标、家长的主导观点以及与健康促进和疾病预防相关的模糊性,都给公共卫生护士带来了挑战。基于这些发现,我们为未来的研究制定了一个公共卫生护士在儿童护理问题上的跟进模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
41
审稿时长
12 weeks
期刊介绍: Global Qualitative Nursing Research (GQNR) is a ground breaking, international, peer-reviewed, open-access journal focusing on qualitative research in fields relevant to nursing and other health professionals world-wide. The journal specializes in topics related to nursing practice, responses to health and illness, health promotion, and health care delivery. GQNR will publish research articles using qualitative methods and qualitatively-driven mixed-method designs as well as meta-syntheses and articles focused on methodological development. Special sections include Ethics, Methodological Development, Advancing Theory/Metasynthesis, Establishing Evidence, and Application to Practice.
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