Guided participation and development of care-giving competencies for families of low birth-weight infants.
Guided participation and development of care-giving competencies for families of low birth-weight infants.
复制标题
指导低出生体重婴儿家庭的参与和护理能力的发展。
DOI：
10.1046/j.1365-2648.1998.00814.x
复制
发表时间：
1998
影响因子：
3.8
通讯作者：
Pridham,KF
中科院分区：
文献类型：
--
作者：
Pridham,KF
引导参与和低出生体重儿家庭护理能力的发展引导参与的概念是支持家庭发展护理低出生体重儿能力的理论的核心。引导参与是一个过程，通过这个过程，一个有经验的人帮助另一个经验较少的人，使他们能够胜任日常生活中对个人和社会有意义的实践。实践是由社会形成的活动，旨在实现一个反复出现的目标。对于父母来说，婴儿护理包括保护，安慰和养育活动，包括喂养。对于早产儿，母亲的护理从新生儿重症监护病房住院期间开始，并在婴儿出院后继续在家中进行。通过指导母亲参与护理实践来解决护理能力问题。在这个过程中，她的工作模式，自己作为父母，她的婴儿，喂养的建设和修订，通过引导参与过程。在本文中，指导参与，可用于促进护理能力的一般理论进行了描述。从试点研究的两个案例来说明应用该理论的母亲的喂养实践与婴儿谁是早产儿，谁开发的喂养问题，在生命的第一年。这些案例表明，引导参与提供了一种手段，可以根据母亲的需要和能力发展目标，精确地调整对护理的支持。进一步研究如何引导参与最好地介绍给不同资源和生活环境的家庭，如何最好地实施跨设置的婴儿从医院到家，以及护士如何可以应用其原则与现有的资源和机会是必要的。
Guided participation and development of care‐giving competencies for families of low birth‐weight babies¶The concept of guided participation is central to theory for supporting families in developing competencies for care of their low birth‐weight infants. Guided participation is a process through which an experienced person helps another person who has less experience to become competent in practices that are personally and socially meaningful practices of everyday life. A practice is made up of socially formed activities directed to accomplishing a recurring goal. For a parent, infant care‐giving encompasses protecting, comforting and nurturing activities, including feeding. For premature infants, a mother’s care‐giving begins during the neonatal intensive care unit stay and continues, after the infant’s discharge from hospital, in the home. Care‐giving competencies are addressed through guided participation of a mother in her care‐giving practice. In this process, her working model of herself as parent, her infant, and feeding is constructed and revised through the guided participation process. In this paper, a general theory of guided participation that could be used to promote care‐giving competencies is described. Two cases from a pilot study are presented to illustrate the application of the theory to a mother’s feeding practice with infants who were born prematurely and who developed problems with feeding during the first year of life. These cases indicate that guided participation offers a means of precisely tailoring support for care‐giving to the mother’s needs and goals for development of competencies. Further research on how guided participation is best introduced to families of varying resources and life circumstances, how it is best implemented across settings as the infant moves from hospital to home, and how nurses can apply its principles with available resources and opportunities is needed.