입원 환아 간호에 대한 부모의 참여 개념분석
Parent Participation in care of Hospitalized Children: Concept Analysis
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목적 본 연구는 입원 환아에게 최적의 간호를 제공하기 위한 전제조건인입원 환아 간호에 대한 부모의 참여의 개념을 탐색함으로써 아동간호실무에 대한 이해를 증진시키고자 시도되었다. 방법 Walker와 Avant (2005)의 개념분석 방법을 사용하였으며, 선행연구를 근거로 1994년부터 2012년 사이에 이루어진 부모의 참여 관련 논문중 입원 환아 간호, 부모참여를 주요어로 하여 고찰한 논문 30편을 통해 속성, 선행요인, 결과를 확인하였다. 결과 입원 환아 간호에 대한 부모의 참여의 속성은 협상, 돌봄 활동 수행,개별화된 간호 제공으로 확인되었다. 선행요인은 환아의 연령과 상태,환아 부모 참여 필요성에 대한 환아 부모와 아동간호사의 태도 및 상호 이해이며, 결과는 환아 부모와 아동간호사의 효율적인 파트너십이이루어지고, 환아 부모와 아동간호사를 임파워먼트시키게 되는 것으로 확인되었다. 결론 본 연구에서 확인된 입원 환아 간호에 대한 부모의 참여의 개념 정의와 속성은 아동간호실무 이론 개발의 기초자료로 활용될 것이다.
Abstract
Purpose: The purpose of this paper was to explore the meaning of parent participation (PP), to clarify the concept of PP as a benefit to childrenand their families, and to increase understanding of PP in pediatric nursing practice. Methods: Walker and Avant’s approach to concept analysiswas used. A search of multidisciplinary literature published between 1994 and 2012 was undertaken using the keyword, ‘parent participation’combined with hospitalized children. Attributes, antecedents and consequences were inductively derived from the citations analyzed (n=30). Results: PP was identified as having three attributes: Negotiation, Performing caring activity, Providing individualized care. Antecedents of PPwere ‘Parents & pediatric nurses’ attitudes’, ‘Children’s age’, ‘Children’s conditions’. Consequences of PP were ‘Effective partnership’, ‘Mutualempowerment’. Conclusion: Parent participation as defined by the results of this study should contribute a foundation for theory developmentin pediatric nursing practice.
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