Rural Families' Process of Re-Forming Environmental Health Risk Messages.
Rural Families' Process of Re-Forming Environmental Health Risk Messages.
复制标题
农村家庭重新形成环境健康风险信息的过程。
DOI：
10.1111/jnu.12149
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Vandermause,Roxanne
中科院分区：
文献类型：
--
作者：
Oneal,GailA;Eide,Phyllis;Hamilton,Rebekah;Butterfield,Patricia;Vandermause,Roxanne
PurposeThis study was carried out to explore how rural low-income families with children processing health information after a nurs-delivered intervention designed to reduce environmental risks in their homes.Design and MethodGrounded theory methodology with a constructivist approach was used to conduct the study.从2009年到2011年，对10名参加过环境风险降低干预的农村低收入家庭主要儿童照料者进行了半结构化访谈。数据进行了分类，使用比较分析，理论抽样，和编码技术。FindingsThe三个阶段-（a）访问我的看法，（B）权衡证据，及（c）为─解释了重塑风险信息的扎根理论的核心过程。结论农村低收入家庭在家中面临环境危害的风险决定了什么样的健康信息，并需要针对其风险采取后续行动临床相关性旨在改善健康行为和降低风险的护理干预措施通常基于阶段理论，该理论解释了通过传递风险信息导致积极行动的步骤如何发生变化。然而，在旨在采取行动的干预措施中传递的风险信息并不总是人们决定使用的风险信息。为了了解人们是否准备好通过干预措施参与积极的行为，或者如果需要对信息进行更改，护士需要发现和探索重新形成风险信息的原因。
PurposeThis study was undertaken to explore how rural low‐income families with children process health information following a nurse‐delivered intervention designed to reduce environmental risks in their homes.Design and MethodGrounded theory methodology with a constructivist approach was used to conduct the study. Semistructured interviews of 10 primary child caregivers in rural low‐income families who had participated in an environmental risk reduction intervention were completed from 2009 to 2011. Data were categorized using comparative analysis, theoretical sampling, and coding techniques.FindingsThe three phases—(a) visiting my perception, (b) weighing the evidence, and (c) making a new meaning—explained the core process of the grounded theory of Re‐Forming the Risk Message.ConclusionsRural low‐income families at risk for environmental hazards in their homes determined what health information and needed subsequent actions regarding their risks were important by changing the meanings of nurse‐delivered messages.Clinical RelevanceNursing interventions designed to improve health behaviors and reduce risks are often based on stage theories that explain how change occurs through steps leading to positive actions through delivery of risk messages. However, the risk message delivered in an intervention designed to engage action is not always the risk message people decide to use. To understand whether people are ready to engage in positive behaviors through interventions, or if needed changes to the information must be made, nurses need to discover and explore reasons for the re‐formed risk messages.