The complexities embedded in family-centered care.

The complexities embedded in family-centered care.
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以家庭为中心的护理所蕴含的复杂性。

DOI:
--
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发表时间:
1998
影响因子:
2.9
通讯作者:
Cheryl Mattingly
Cheryl Mattingly
中科院分区:
医学4区
文献类型:
--
作者:
M. Lawlor;Cheryl Mattingly

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1986年《所有残疾儿童教育修正案》的实施推动了最近以家庭为中心的护理运动,这对接受过以客户为中心的服务模式培训的专业人员提出了相当大的挑战。我们对以家庭为中心的护理的理解远远落后于我们实施响应迅速和有效服务的努力,这一事实使这些挑战更加复杂。当医生将家庭成员更完整地纳入儿科治疗的合作者中时,他们对家庭的看法和治疗经验的性质就会受到影响。在这篇文章中,我们提出了一些关键的困境,这些困境是基于民族志研究、描述性研究和我们与儿科医生和有特殊卫生保健需求儿童的父母进行的培训研讨会得出的数据。这些困境突出了在所有关键参与者之间建立有效伙伴关系所涉及的复杂性,多种文化世界对日常实践的影响,以及在实践的情感和社会层面向从业者提供支持的必要性。提出了对实践和未来研究的启示。
The recent movement toward family-centered care, which has been propelled by the implementation of the Education for All Handicapped Children Amendments of 1986, poses considerable challenges to professionals trained in client-centered models of service delivery. These challenges are compounded by the fact that our understanding of family-centered care lags considerably behind our attempts to implement responsive and efficacious services. When practitioners include family members more integrally as collaborators in pediatric treatment, their perceptions about families and the nature of the therapeutic experience is affected. In this article, we present a number of critical dilemmas that are based on data drawn from ethnographic research, descriptive studies, and training seminars we conducted with pediatric practitioners and parents of children with special health care needs. These dilemmas highlight the complexities involved in building effective partnerships among all the key players, the influence of multiple cultural worlds on everyday practices, and the need to provide supports to practitioners for the emotional and social dimensions of practice. Implications for practice and future research are presented.
DOI: 10.5014/ajot.49.8.802
发表时间: 1995
期刊: The American journal of occupational therapy : official publication of the American Occupational Therapy Association
影响因子: --
作者:
Gitlin,LN;Corcoran,M;Leinmiller-Eckhardt,S
通讯作者: Leinmiller-Eckhardt,S
医疗合规作为一种意识形态。
DOI: 10.1016/0277-9536(88)90194-3
发表时间: 1988
期刊: Social science & medicine (1982)
影响因子: --
作者:
Trostle,JA
通讯作者: Trostle,JA