Objective To describe and analyze the experience of parents of non-suicidal self-injury(NSSI) adolescents in caregiving and coping,and to provide a basis for developing family support programs. Methods It was a descriptive phenomenological study. Purposive sampling was used to select 19 parents of NSSI adolescents who sought medical treatment at a tertiary hospital in Guangzhou from August to October 2022. Face-to-face semi-structured interviews were conducted,and the Colaizzi 7-step analysis method was used to summarize and refine the themes. Results 4 core themes were identified:parents of NSSI adolescents experienced various negative emotions in caregiving,including helplessness,confusion,panic,self-blame,anger,and grief;parents created a positive family environment through acquiring relevant knowledge,improving communication,and increasing companion time;some parents lacked effective coping strategies and tended to use violent communication,strict prohibitions,or indulgence as a single strategy;external support was insufficient,and parents hoped to receive more help from schools,hospitals,and communities. Conclusion Parents of NSSI adolescents experienced complex negative emotions,and attempted to create a positive family environment to reduce their adolescent’s NSSI behavior. However,they still lacked effective coping strategies and hoped to receive more external support. Healthcare professionals should provide emotional support and positive guidance to parents,explore effective family intervention strategies,and collaborate with families,schools,and communities to promote the physical and mental health of adolescents.
Objective To evaluate the quality of family resilience assessment tools for cancer patients, so as to provide references for the selection of high-quality research tools. Methods We searched databases including PubMed,the Cochrane Library,Web of Science,Embase, PsycINFO, CINAHL, CBM, CNKI, Wanfang, VIP to collect all studies about assessment tools that measure cancer patients’ family resilience. Based on the consensus-based standards for the selection of health measurement instruments(COSMIN) guideline,the methodological and measure-ment properties quality of the included assessment tools were evaluated by the COSMIN risk of bias checklist and quality criteria,and the modified grading of recommendations assessment, development of evaluation(GRADE) was used to classify the grade of evidence and recommendations of the tools. Results None of the 10 assessment tools reported criterion validity, measurement error or responsiveness. The GRADE of Family Resilience Assessment(FRA) and Family Resilience Questionnaire(FaREQ) were high. The recommendation level of Family Resilience Assessment Scale(FRAS), FRA and FaREQ were A, and the others were B. Conclusion FRAS and Chinese version of Family Resilience Assessment Scale(C-FRAS) translated by Fan are the most widely used family resilience assessment tools for cancer patients at home and abroad. FRAS, FRA and FaREQ have good methodological quality, measurement properties quality and evidence level, so they are recommended for use in cancer patients.
Objective To explore the growth of psychiatric nurses after experiencing traumatic event during the night shifts,in order to provide targeted interventions and guidance for them at different stages,and to provide training directions for newly graduated nurses by managers or interveners. Methods 12 psychiatric nurses who experienced traumatic events during the night shifts in a tertiary hospital in Guangdong Province from March to July 2020 were interviewed by grounded theory method. Based on Strauss and Corbin grounded theories,open login,axial login and selective login were conducted for continuous comparison and analysis for data. Results This study found that psychiatric nurses experienced 3 different stages after experiencing night shift traumatic event,including stress period,adjustment period,and growth period. Conclusion The growth of psychiatric nurses after night shift traumatic event is a dynamic process. Managers or interveners can carry out targeted interventions and guidance according to different stages,and encourage them to prepare relevant knowledge and skills in advance during the early training of newly graduated nurses.