Training community health nurses to measure parent-child interaction: a mixed-methods study
Training community health nurses to measure parent-child interaction: a mixed-methods study
复制标题
DOI：
10.1093/eurpub/ckz155
复制
发表时间：
2020-06-01
影响因子：
4.4
通讯作者：
Law, James
中科院分区：
文献类型：
--
作者：
Levickis, Penny;McKean, Cristina;Law, James
背景：本研究旨在确定社区儿童健康护士(CCHN)是否可以使用24-30个月时完成的父母反应性评定量表(Parris)在实践中可靠地测量亲子互动的质量。方法：采用混合方法设计，包括在公共卫生机构工作的CCHN。从英格兰东北部招募的五名CCHN接受了使用Parris的培训。观察了30对参加24-30个月常规体检的亲子二人组。护士在5分钟的自由游戏中使用Parris对亲子二人组进行评分。自由玩耍的过程被录像，并被第一作者评定为对护士观察的盲目性。在亲子互动观察完成后，对五个CCHN进行了半结构化电话访谈。采访被录音、转录、匿名并进行主题分析。结果：参与调查的父母中有三分之二是母亲。根据英国多重剥夺指数，一半的家庭(15/30)来自最贫困的10%的地区。平均Parris评分为3.03[标准差(SD)=0.8；所有评级均为
Background: This study aims to determine whether the Parental Responsiveness Rating Scale (PaRRiS) completed at child age 24-30 months can be used by community child health nurses (CCHNs) to reliably measure the quality of parent-child interactions in practice. Methods: A mixed-methods design was used involving CCHNs working in public health settings. Five CCHNs recruited from the North-East of England were trained to use PaRRiS. Thirty parent-child dyads attending their routine 24-30-month check were observed. Nurses rated parent-child dyads during 5 min of free-play using PaRRiS. The free-play sessions were video recorded and rated blind by the first author to the nurse observation. Semi-structured phone interviews were conducted with the five CCHNs once observations of parent-child interactions were complete. Interviews were audio-recorded, transcribed, anonymized and thematically analyzed. Results: Two-thirds of participating parents were mothers. Half the families (15/30) were from the 10% most deprived areas based on the English Index of Multiple Deprivation. The average PaRRiS score was 3.03 [standard deviation (SD) = 0.8; all ratings were