Care negotiation in a pediatric ward: discourses and practice
DOI:
https://doi.org/10.29352/mill0223.34545Abstract
Introduction: The negotiation process between parents, children, and nurses during hospitalization must be structured for a successful interaction. However, there is limited scientific evidence on parents' perspectives.
Objective: Understand the negotiation process that takes place between nurses and parents in the Pediatric Ward.
Methods: A qualitative descriptive study was conducted with 11 parents using semi-structured interviews. The data was analyzed using content analysis techniques by Bardin (2016).
Results: Five domains emerged from the discourse and perspectives of parents regarding care negotiation. The structuring conditions and knowledge of the child and family serve as foundations to support the negotiation process. During the negotiation itself, two roles converge: the parental role, involving the assumption and adaptation to the parental role, and the role of the nurses. Some behaviors promote negotiation, aimed at making the process more natural. However, some behaviors on the part of the nurses could hinder negotiation. Post-discharge support is acknowledged as an essential extra support once the child returns home.
Conclusion: The findings provide clarification of the roles of the different participants in care negotiation, with potential contributions to the implementation of actions that improve the negotiating process in a more sustained and intentional manner.
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