Negotiating nurse-patient authority in pediatric home health care

In this qualitative study, pediatric home health nurses described the solitary, ambiguous, and unprogrammed nature of home health nursing. As employees of the family, the nurses in this study found it necessary to negotiate their work tasks and working conditions with family members. In describing t...

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Bibliographic Details
Published inJournal of pediatric nursing Vol. 8; no. 2; p. 70
Main Authors Scannell, S, Gillies, D A, Biordi, D, Child, D A
Format Journal Article
LanguageEnglish
Published United States 01.04.1993
Subjects
Child
Communication
Home Care Services
Humans
Internal-External Control
Job Description
Negotiating
Nursing Methodology Research
Patient Participation
Pediatric Nursing - methods
Power (Psychology)
Professional-Family Relations
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Summary:In this qualitative study, pediatric home health nurses described the solitary, ambiguous, and unprogrammed nature of home health nursing. As employees of the family, the nurses in this study found it necessary to negotiate their work tasks and working conditions with family members. In describing the meaning of their work, the nurses emphasized differences between hospital and home health nursing with regard to their authority for care decisions, methods of child discipline, parental control of care, and innovations of nursing routines and interventions. Characteristics of pediatric home nursing are identified in order for these to be communicated to prospective home care nurses, to pediatric nurse educators, and to home health managers. With knowledge of these characteristics, a new home health nurse will be better prepared to negotiate shared patient care responsibilities with the client's family.
ISSN:0882-5963