Contextual factors influencing parents' assessments of family-centred care in the paediatric emergency department: A qualitative study.

Contextual factors influencing parents' assessments of family-centred care in the paediatric emergency department: A qualitative study.
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DOI:
10.1002/nop2.1304
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发表时间:
2023-01
期刊:
影响因子:
2.3
通讯作者:
Young, Heather M.
Young, Heather M.
中科院分区:
医学4区
文献类型:
--
作者:
Rosenthal, Jennifer L.;Perez, Susan L.;Young, Heather M.

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确定影响父母对儿科急诊科就诊期间接受的以家庭为中心的护理评估的背景因素。一个定性的横截面案例研究。我们采访了在急诊室遇到孩子的父母。我们独立编码的前3个成绩单,并举行会议,讨论编码结构和完善现有的代码,添加新的代码和开发暂定类别。我们每3-5个抄本重复这个过程,直到达到主题饱和。我们进行了16次访谈,并确定了2个主题:(1)并非所有的父母都期望医生在急诊科提供以家庭为中心的护理;(2)感到不知所措和无能为力影响了父母对以家庭为中心的护理的看法。糟糕的以家庭为中心的护理加剧了父母的无力感,并加强了父母对医生的低期望。同样,低期望和无能为力加剧了以家庭为中心的护理。需要采取干预措施来打破这种循环,改善以家庭为中心的护理。
To identify the contextual factors influencing parents' assessments of the family‐centredness of care received during a paediatric emergency department visit. A qualitative cross‐sectional case study. We interviewed parents who were at their child's bedside during an emergency department encounter. We independently coded the first 3 transcripts and met to discuss the coding structure and to refine existing codes, add new codes and develop tentative categories. We repeated this process for every 3–5 transcripts until thematic saturation was reached. We conducted 16 interviews and identified 2 themes: (1) Not all parents expected physicians to provide family‐centred care in the emergency department and (2) feeling overwhelmed and powerless influenced parents' perceptions of family‐centred care. Poor family‐centred care worsened parents' sense of powerlessness and reinforced parents' low expectations from physicians. Similarly, low expectations and powerlessness exacerbated poor family‐centred care. Interventions are needed to break this cycle and improve family‐centredness of care.
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