Asian Nurs Res.  2022 Dec;16(5):282-291. 10.1016/j.anr.2022.11.001.

School NurseeParent Partnership in School Health Care for Children with Type 1 Diabetes: A Hybrid Method Concept Analysis

Affiliations
  • 1Department of Nursing, Pukyong National University, Republic of Korea
  • 2Department of Nursing Science, Chungbuk National University, Republic of Korea

Abstract

Purpose
To define school nurseeparent partnerships in school health care for children with type 1 diabetes (T1D) and determine its attributes using a hybrid model.
Methods
This method involves a three-phase process: theoretical, fieldwork, and analytical. A literature review was conducted during the theoretical phase. A literature search of articles from January 1991 to February 2020 was conducted using relevant electronic databases. Eighty-three articles that met the inclusion criteria were completely read. Fieldwork data were collected through individual interviews from February to July 2019 in South Korea. In the fieldwork phase, interviews were conducted individually with 22 mothers of students with T1D and 20 school nurses recruited by purposeful sampling. Inductive content analysis was conducted. The findings from the theoretical phase were integrated with those from the fieldwork phase, and the final concept was derived.
Results
School nurseeparent partnership in school health care for children with T1D has been defined as an interactive process of maintaining a balanced responsibility and providing tailored care to meet needs by establishing trusting relationships and communicating transparently and openly. This analysis yielded four attributes: trusting relationships, transparent and open communication, balanced responsibility, and providing tailored care to meet needsdthis entails providing nursing actions by advocating for students and performing a negotiated role together or individually for student and family.
Conclusion
The findings of this study add to the importance of an attribute of balancing responsibility for partnership in school health care. The results show that this partnership could contribute to the development of a scale, theory, and nursing intervention in school health care for children with T1D.

Keyword

diabetes mellitus type 1; mothers; school health services; students
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