“They just do my dressings”: children’s perspectives on Community Children’s Nursing
Randall, Duncan (2009) “They just do my dressings”: children’s perspectives on Community Children’s Nursing. PhD thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b2334516~S15
The increase in the number of children living with complex, long term nursing needs
has led to an expansion of services. The growth in community children’s nursing has
been influenced by local politics and the needs of individual children, rather than by
research investigating children’s perspectives (Whiting 2005). At the same time,
policy and professional agendas have included a willingness to listen to children as
service users (Department of Health 2001a, Coad and Shaw 2008). The aim of this
study was to address the lack of an evidence base for community children’s nursing
by exploring children’s experiences of receiving nursing care in community settings.
A mosaic of qualitative methodologies, within the philosophical framework of
Clark’s (2004) Mosaic approach, was used to investigate the experience of children,
aged 5-12. The study engaged a core group of seven children in participatory
activities spread over one year. A larger, non-core group of fourteen children was
also observed receiving nursing care. The children’s perspectives were placed in
context using data from observation of six nurses’ working days, and individual and
group interviews with community children’s nurses.
Four themes emerged. Firstly, the dominant theme for children was how they
portrayed themselves as children, like other children. Secondly, findings show, for
the first time, that children have negative as well as positive regard for nurses.
Children’s regard for nurses seemed to be influenced by children’s understanding of
their illness and their involvement in receiving care. Thirdly, children and nurses
focused on highly visible clinical interventions, not on the work of nurses which helped children to access social or educational opportunities. Finally, some of the
children wanted to receive care from a nurse of the same sex as themselves.
These findings have significant implications for quality measurement, the
management of relationships between children and nurses, and the organisation of
|Item Type:||Thesis or Dissertation (PhD)|
|Subjects:||R Medicine > RT Nursing|
|Library of Congress Subject Headings (LCSH):||Community health nursing -- Great Britain, Community health services for children -- Great Britain, Children -- Health and hygiene|
|Official Date:||August 2009|
|Institution:||University of Warwick|
|Theses Department:||School of Health and Social Studies|
|Supervisor(s)/Advisor:||Blackburn, Clare, 1957- ; Adams, Ann|
|Sponsors:||Health Foundation (Great Britain) (HF)|
|Format of File:|
|Extent:||412 leaves : ill., charts|
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